Individual
MISS VIRGINIA FUI PHING TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6440 SOUTH MILROCK DR, STE 175, SALT LAKE CITY, UT 84121-3600
(866) 724-8555
(866) 588-1518
Mailing address
6440 SOUTH MILROCK DR, STE 175, SALT LAKE CITY, UT 84121-3600
(866) 724-8555
(866) 588-1518
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004755A
IN
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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