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Contact Information

JACOB R BRYAN, MOTR L
815 S 200 W
BRIGHAM CITY, UT84302
 Phone: 435-723-5289
 Fax: 435-723-0579
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JACOB R BRYAN · (Male)

NPI # 1376619080
Status Active
Credentials MOTR L
Entity Individual
Enumeration date 11/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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