Individual
ELIZA G WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 WALLER AVE STE 275, LEXINGTON, KY 40504-2930
(859) 447-8600
(859) 447-8599
Mailing address
330 WALLER AVE STE 275, LEXINGTON, KY 40504-2930
(859) 447-8600
(859) 447-8599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008531
KY
Other
Enumeration date
06/02/2022
Last updated
04/13/2023
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