Gary L Gottfredson, | |
1380 E Medical Center Dr, St George, UT 84790-2123 | |
(435) 251-1000 | |
(435) 688-4002 |
Full Name | Gary L Gottfredson |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 1380 E Medical Center Dr, St George, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356357339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 279046-4201 (Utah) | Primary |
Provider Name | Ihc Health Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064 |
Mailing Address | Practice Location Address |
---|---|
Gary L Gottfredson, 1380 E Medical Center Dr, St George, UT 84790-2123 Ph: (435) 251-1000 | Gary L Gottfredson, 1380 E Medical Center Dr, St George, UT 84790-2123 Ph: (435) 251-1000 |
Matthew Glenn Edwards, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 652 S Medical Center Dr Ste Ll10, St George, UT 84790 Phone: 435-251-2250 Fax: 435-251-2255 | |
Andrew Kalt Nielsen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 W Tabernacle St, St George, UT 84770 Phone: 435-673-3553 | |
Dr. Rachel Marie Postma, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 652 S Medical Center Dr Ste Ll10, St George, UT 84790 Phone: 435-251-3793 | |
David Thomas Harkness, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: St George Regional Hospital, River Road, St George, UT 84059 Phone: 435-251-1000 | |
Steven Henry Wallenfels, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1000 Fax: 435-688-4002 | |
Michelle Lynn Schierl, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 652 S Medical Center Dr, St George, UT 84790 Phone: 435-251-2250 | |
Aaron Fox, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1000 |