Individual
BENJAMIN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5550
(801) 585-0303
Mailing address
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9423452-8016
UT
Other
Enumeration date
06/02/2015
Last updated
02/22/2016
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