Individual
ERIC NEAL DOMGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
121 W TABERNACLE ST, ST GEORGE, UT 84770-3338
(435) 673-3553
Mailing address
3705 E CHURCH ROCKS DR, ST GEORGE, UT 84790-5001
(435) 590-4969
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
10264255-4201
UT
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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