Individual
MS. JUDITH I WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
981 POWELL AVE SW, 130, RENTON, WA 98057-2990
(206) 439-0449
(206) 244-3783
Mailing address
330 SW 43RD ST, SUITE K, PMB 117, RENTON, WA 98057-4900
(206) 439-0499
(206) 244-3783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002638
WA
Other
Enumeration date
12/05/2006
Last updated
01/31/2014
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