Individual
DEREK OMAR WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
50 E 9000 S, SANDY, UT 84070-2201
(801) 561-9839
(801) 352-0027
Mailing address
529 W 1200 N, OREM, UT 84057-2948
(801) 226-5565
(801) 226-5565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
346435-2401
UT
225100000X
Physical Therapist
PT00010324
WA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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