Individual
MATTHEW GLENN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
652 S MEDICAL CENTER DR STE LL10, ST GEORGE, UT 84790-7269
(435) 251-2250
(435) 251-2255
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5153775-4201
UT
Other
Enumeration date
10/04/2006
Last updated
03/01/2024
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