MS. Mala Jean Waller, PT
NPI #1568553212 in N Little Rock, Arkansas
Provider Information
- NPI Number
- 1568553212
- Entity Type
- Individual
- Name
- MS. Mala Jean Waller, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Sep 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2200 FORT ROOTS DR
- City
- N Little Rock
- State
- Arkansas
- ZIP Code
- 72114-1709
- Phone
- (501) 257-1046
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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