Individual
DR. MARA WALLISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1640 E RIVER RD STE 110, TUCSON, AZ 85718-7645
(520) 729-1960
Mailing address
4321 N RIO CANCION APT 219, TUCSON, AZ 85718-7124
(908) 644-3241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31418
AZ
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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