Individual
MR. DANIEL WALLACE LIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Contact information
Practice address
9017 FOREST HILL AVE SUITE 2B, JAMES RIVER PHYSICAL THERAPY, N. CHESTFIELD, VA 23235
(804) 330-0936
(804) 330-0937
Mailing address
9017 FOREST HILL AVE SUITE 2B, JAMES RIVER PHYSICAL THERAPY, N. CHESTERFIELD, VA 23235
(804) 330-0936
(804) 330-0937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202065
VA
Other
Enumeration date
06/23/2005
Last updated
07/21/2022
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