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Jacob Brandenburg
NPI 1538534847 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5314 River Run Dr
Suite 140
Provo, UT 84604 - Phone
- (801) 471-2449
- Organisation at this address
- Riverwoods Behavioral Health Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah