MRS. Tiarra Danielle Waller, OTR/L
NPI #1295472884 in Ste Genevieve, Missouri
Provider Information
- NPI Number
- 1295472884
- Entity Type
- Individual
- Name
- MRS. Tiarra Danielle Waller, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- May 16, 2022
- Last Updated
- May 16, 2022
Practice Location
- Address
- 21964 HIGHWAY 32
- City
- Ste Genevieve
- State
- Missouri
- ZIP Code
- 63670-9190
- Phone
- (573) 883-9366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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