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NPI Code Detail

MEDICARE: JILLIAN BRINTON COTA/L

MEDICARE:   JILLIAN  BRINTON  COTA/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant13479823-4202UT

General Provider Information

NPI Number : 1225971880
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILLIAN BRINTON COTA/L
Provider Business Mailing Address
First Line : 4765 S MEADOW VIEW RD
Second Line :
City : MURRAY
State : UT
Zip : 84107-3964
Country : US
Telephone Number : 801-889-5683
Fax Number :
Provider Business Practice Location Address
First Line : 4782 S HOLLADAY BLVD
Second Line :
City : HOLLADAY
State : UT
Zip : 84117-5444
Country : US
Telephone Number : 801-277-7002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ JILLIAN BRINTON COTA/L” Practice Location

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