Joseph R. Waller, P.T.

NPI #1689618852 in Waupaca, Wisconsin

Provider Information

NPI Number: 1689618852
Entity Type: Individual
Name: Joseph R. Waller, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jun 16, 2006
Last Updated: Jun 27, 2013

Practice Location

Address: E3277 APPLE TREE LN
City: Waupaca
State: Wisconsin
ZIP Code: 54981-7580
Phone: (715) 256-0358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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