Individual
ZACHARY WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 PARKCLIFF DR, HOLIDAY ISLAND, AR 72631-8045
(147) 936-3642
Mailing address
23 PARKCLIFF DR, HOLIDAY ISLAND, AR 72631-8045
(147) 936-3642
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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