BENJAMIN WALLACE

WEST VALLEY CITY, UT
NPI1376258780
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2023-01-19
Last Update Date2023-01-19
Business Address
BENJAMIN WALLACE DPT
2532 S 5600 W
WEST VALLEY CITY, UT 84120-1247
Phone number: 801-415-6882
Mailing Address
BENJAMIN WALLACE DPT
5103 W CHERRY VIEW DR
WEST VALLEY CITY, UT 84120-5707
Phone number: 253-985-3356
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