Individual
JASON WALLBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3920 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1631
(877) 757-8353
Mailing address
3349 CALDORA LN, HENDERSON, NV 89044-1764
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1163
NV
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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