Derek Omar White, P.T.

NPI #1417083064 in Sandy, Utah

Provider Information

NPI Number: 1417083064
Entity Type: Individual
Name: Derek Omar White, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Feb 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 50 E 9000 S
City: Sandy
State: Utah
ZIP Code: 84070-2201
Phone: (801) 561-9839

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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