Individual
MR. DANIEL PATRICK WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSC, MSC
Contact information
Practice address
390 ROUTE NJ 10, SUITE 202, RANDOLPH, NJ 07869
(973) 895-9925
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA00989900
NJ
Other
Enumeration date
11/21/2019
Last updated
12/12/2019
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