Doctor Name: | JOHN BENSON EGAN |
NPI Number: | 1821109026 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 32G1852401 |
Business Practice Address: | 698 E 12th St Ste 300 Ogden, UT - 844046200 |
Business Phone Number: | 8017820300 |
Business Fax Number: | 8017820305 |
Mailing Address: | Po Box 711185, SALT LAKE CITY |
State: | UT |
Postal Code: | 841711185 |
Phone Number: | 8019423311 |
Fax Number: | 8019425955 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 32G1852401 |
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 |