Individual
CODY JOHN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
652 S MEDICAL CENTER DR, ST GEORGE, UT 84790-7049
(208) 360-4958
Mailing address
2004 S SHELLEE DR, ST GEORGE, UT 84790-8632
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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