Individual provider · Type 1 NPI
James Wallenberg, DPT
Geriatric Physical Therapist · Westlake Village, CA
Practice location
860 Hampshire Rd
Westlake Village, CA 91361-2803
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist Primary | 2251G0304X | 298494 (CA) |
Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…
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About NPI 1649888405
James Wallenberg, DPT's National Provider Identifier is 1649888405, issued on Jul 17, 2020. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Westlake Village, CA. The record was last updated on Jun 7, 2024.