NPI 1104372473
Daniel Wallach
Practice location
- Address
- 2621 NE 134th St STE 140, Vancouver, WA 98686-3036
- Phone
- (360) 504-0122
- Fax
- (360) 839-1354
- Mailing address
- 823 SE 36th St, Battle Ground, WA 98604-3197
Registered specialties (2)
Physical Therapy Assistant
Primary
Physical Therapy Assistant
Registry record
- NPI
- 1104372473
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Aug 2016
- Record last updated
- 20 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.