BENJAMIN WALLACE

MURRAY, UT
NPI1376258780
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  13189250-2401)
Enumeration Date2023-01-19
Last Update Date2025-05-20
Business Address
BENJAMIN WALLACE DPT
5848 S 300 E
MURRAY, UT 84107-6157
Phone number: 801-314-4040
Mailing Address
BENJAMIN WALLACE DPT
PO BOX 25537
SALT LAKE CITY, UT 84125-0537
Phone number: 801-314-4040