Doctor Name: | BENJAMIN WONG |
NPI Number: | 1073993366 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 9423452-8016 |
Business Practice Address: | 2000 Circle Of Hope Dr Salt Lake City, UT - 841125550 |
Business Phone Number: | 8015850303 |
Business Fax Number: | |
Mailing Address: | 2000 Circle Of Hope Dr, SALT LAKE CITY |
State: | UT |
Postal Code: | 841125550 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/02/2015 |
NPI Last Update Date: | 02/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9423452-8016 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |