Mark Waller, PT

NPI #1801525381 in Lehigh Acres, Florida

Provider Information

NPI Number
1801525381
Entity Type
Individual
Name
Mark Waller, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jun 9, 2022
Last Updated
Jun 9, 2022

Practice Location

Address
11742 EROS RD
State
Florida
ZIP Code
33971-3759
Phone
(239) 671-8962

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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