Individual
DEREK JOHN SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5770 S FASHION BLVD, BLDG #5, SUITE 210, MURRAY, UT 84107
(208) 221-9590
Mailing address
7676 S RIVERWOOD DR, SANDY, UT 84093-6134
(208) 221-9590
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6328151-4201
UT
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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