Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DANIEL WALLACE LIST, M.S.P.T.
ActiveMR. DANIEL WALLACE LIST, M.S.P.T. is a Physical Therapy Assistant healthcare provider located in N. CHESTFIELD, Virginia. NPI 1750387809 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · N. CHESTFIELD, VA
Registration Details
- NPI Number
- 1750387809
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2005 (21.133759094992 yrs)
- Last Updated
- Jul 21, 2022
- License
-
2305202065 (VA)
Practice Information
- Address
-
9017 FOREST HILL AVE SUITE 2BJAMES RIVER PHYSICAL THERAPYN. CHESTFIELD, VA, 23235Browse VA providers · Browse ZIP 23235
- Phone
- 8043300936
- Fax
- 8043300937
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.