Individual
DANIEL LEO WALLENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, LPT
Contact information
Practice address
590 ANDERSON AVE, CLIFFSIDE PARK, NJ 07010-1721
(201) 941-8667
(201) 941-3353
Mailing address
40 CONGER ST APT 203A, BLOOMFIELD, NJ 07003-3314
(917) 837-7602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01915600
NJ
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
08/24/2015
Last updated
02/19/2020
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