Individual
MR. DANIEL EDWARD WALLS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2 LAFAYETTE CIR, MEDIA, PA 19063-5207
(610) 566-6806
Mailing address
2 LAFAYETTE CIR, MEDIA, PA 19063-5207
(610) 566-6806
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003813L
PA
Other
Enumeration date
10/13/2005
Last updated
07/08/2007
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