Individual
DEREK GALLEGOS OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 W TABERNACLE ST, ST GEORGE, UT 84770-3338
(435) 673-3553
Mailing address
1629 S 980 EAST CIR, ST GEORGE, UT 84790-2260
(435) 705-9574
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11409078-4201
UT
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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