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Individual
JAMES WALLENBERG
Active
Individual
JAMES WALLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
298494
CA
Other
Enumeration date
07/17/2020
Last updated
06/07/2024
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