Individual
BRIAN WANSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Mailing address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10832387-2401
UT
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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