Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Wallach

Individual provider Physical Therapy Assistant · NPI 1104372473

Daniel Wallach is a Physical Therapy Assistant in Vancouver, Washington. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

2621 NE 134th St Ste 140
Vancouver, WA 98686-3036
Phone: (360) 504-0122
Fax: (360) 839-1354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 717 Santa Ana Ave, Sacramento, CA 95838-1822 — (916) 710-3851

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 9921 (OR)
Physical Therapy Assistant Taxonomy 225200000X

Record details

NPI number1104372473
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2016
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025
Mailing address823 Se 36th St, Battle Ground, WA 98604-3197

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