MS. Eulanda Lara Waller, OTR/L

NPI #1073759619 in Macon, Georgia

Provider Information

NPI Number
1073759619
Entity Type
Individual
Name
MS. Eulanda Lara Waller, OTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OTR/L
Enumeration Date
Jan 4, 2009
Last Updated
Feb 28, 2013

Practice Location

Address
315 CHRISTINA CT
City
Macon
State
Georgia
ZIP Code
31217-4528
Phone
(478) 318-2313

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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