Individual
SAGE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1380 E MEDICAL CENTER DR, SAINT GEORGE, UT 84790-2123
(435) 251-1000
Mailing address
1750 N 160 W, OREM, UT 84057-8549
(801) 787-8796
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13860591-4201
UT
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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