Individual
RUSSELL WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1032 E 100 S, SAINT GEORGE, UT 84770-3005
(435) 628-0488
(435) 628-7362
Mailing address
1032 E 100 S, SAINT GEORGE, UT 84770-3005
(435) 628-0488
(435) 628-7362
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5332031-4201
UT
Other
Enumeration date
05/21/2007
Last updated
08/10/2012
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