Individual
HO MAN HOMAN WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
346 W INAUGURATION RD, DRAPER, UT 84020-6819
(208) 776-0247
Mailing address
346 W INAUGURATION RD, DRAPER, UT 84020-6819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13972367-2401
UT
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
08/06/2019
Last updated
06/03/2024
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