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Individual

DR. DAVID HARISSON WALLUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
850 MILL ST STE 300, RENO, NV 89502-1484
(775) 337-8776
Mailing address
850 MILL ST STE 300, RENO, NV 89502-1484
(775) 337-8776

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4911
NV
2251P0200X
Pediatric Physical Therapist
4911
NV
2251S0007X
Sports Physical Therapist
4911
NV

Other

Enumeration date
07/12/2022
Last updated
07/13/2022
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