Individual
DR. JASON H WALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, LAC.
Contact information
Practice address
635 MADISON AVE FL 19, NEW YORK, NY 10022-1009
(212) 752-1661
Mailing address
635 MADISON AVE FL 19, NEW YORK, NY 10022-1009
(212) 752-1661
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
017099
NY
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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