Haley Brock, | |
2639 W 3520 S, West Haven, UT 84401-8529 | |
(801) 732-5290 | |
Not Available |
Full Name | Haley Brock |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 2639 W 3520 S, West Haven, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508623323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 13708203-4201 (Utah) | Primary |
Provider Name | Orthopaedic And Neurological Rehab Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20200930001509 |
Mailing Address | Practice Location Address |
---|---|
Haley Brock, 66 E Dorchester Dr, Salt Lake City, UT 84103-2203 Ph: (801) 884-9569 | Haley Brock, 2639 W 3520 S, West Haven, UT 84401-8529 Ph: (801) 732-5290 |
Kidworks Ot Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3801 S 3650 W, West Haven, UT 84401 Phone: 801-600-7068 | |
Home Freedom Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3448 S 5100 W, West Haven, UT 84401 Phone: 801-814-3303 | |
Mrs. Charity Sue Davis, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3476 W 4600 S, West Haven, UT 84401 Phone: 801-689-0200 Fax: 801-689-0201 |