MRS. Tamara Waller, PT

NPI #1306480884 in Smithfield, Virginia

Provider Information

NPI Number: 1306480884
Entity Type: Individual
Name: MRS. Tamara Waller, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 29, 2019
Last Updated: Oct 29, 2019

Practice Location

Address: 107 SUNRISE BLUFF CT
City: Smithfield
State: Virginia
ZIP Code: 23430
Phone: (757) 371-1064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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