Individual
JOHN WITTAKER WALLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2020 GUNBARREL RD STE 408, CHATTANOOGA, TN 37421-2663
(423) 648-7647
(423) 648-7648
Mailing address
2020 GUNBARREL RD STE 408, CHATTANOOGA, TN 37421-2663
(423) 238-1127
(423) 238-1277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11240
TN
Other
Enumeration date
06/15/2017
Last updated
03/17/2018
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