Waller Occupational Therapy And Consulting, Llc

NPI 1003148289 - Occupational Therapist - 225XE0001X

NPI Details
NPI 1003148289
Enumeration Date 02/12/2010
Last Updated 02/12/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name EULANDA LARA EULANDA
Position OWNER
Phone (478) 755-0335
Fax (478) 755-0335
Practice Location
315 CHRISTINA CT
MACON GA, 31217-4528, US
Phone (478) 755-0335
Fax (478) 755-0335
Business Location
315 CHRISTINA CT
MACON GA, 31217-4528, US
Phone (478) 755-0335
Fax (478) 755-0335
Toxanomy
Taxonomy Code 225XE0001X
License State Georgia
License Number OT003394
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According to our database, Waller Occupational Therapy And Consulting, Llc NPI is 1003148289, taxonomy code is 225XE0001X and license number is OT003394, license state is located at Georgia. Waller Occupational Therapy And Consulting, Llc physically located at 315 Christina Ct, Macon GA, 31217-4528. NPI Number 1033115704 has the healthcare provider type.

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1003148289 NPI number is provided on an as is basis without warranty of any kind. 1003148289 is maintained by the National Plan & Provider Enumeration System. The contents of Waller Occupational Therapy And Consulting, Llc are for informational purposes only.