Individual
SARAH WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23179 CALVIN DR, FRANKLIN, VA 23851-2807
(800) 330-7711
Mailing address
23179 CALVIN DR, FRANKLIN, VA 23851-2807
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006577
VA
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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