Mary Elise Waller, PT, DPT

NPI #1649865692 in Southlake, Texas

Provider Information

NPI Number
1649865692
Entity Type
Individual
Name
Mary Elise Waller, PT, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist - Orthopedic
Credential
PT, DPT
Enumeration Date
Mar 2, 2021
Last Updated
Mar 2, 2021

Practice Location

Address
2419 W SOUTHLAKE BLVD STE 100
State
Texas
ZIP Code
76092-1506
Phone
(469) 535-6842

Specialties & Taxonomy Codes

Specialty
Physical Therapist - OrthopedicOrthopedic

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