IndividualActive
Eric Domgaard, OTD
NPI 1609507672 · Pediatric Occupational Therapist · St George, UT
Provider details
- NPI number
- 1609507672
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10264255-4201 (UT)
Mailing address
3705 E Church Rocks Dr
St George, UT 84790-5001
Registry dates
- Enumerated
- 2022-06-21
- Last updated
- 2022-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.