NPI 1114579869
Brian David Jensen, OTDOTRL
Practice location
- Address
- 1992 W Antelope Dr STE 1d, Layton, UT 84041-4974
- Phone
- (801) 773-2633
Registered specialties
Hand Occupational Therapist
Primary
Registry record
- NPI
- 1114579869
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Jul 2019
- Record last updated
- 12 Jul 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.