Eric Douglas Waller, PTA
NPI #1134841042 in Mount Pleasant, Michigan
Provider Information
- NPI Number
- 1134841042
- Entity Type
- Individual
- Name
- Eric Douglas Waller, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 16, 2022
- Last Updated
- Sep 16, 2022
Practice Location
- Address
- 1620 S MISSION ST STE O
- City
- Mount Pleasant
- State
- Michigan
- ZIP Code
- 48858-4466
- Phone
- (989) 282-0320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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