Individual
MARY P WALDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42465 HIGHWAY 195, HALEYVILLE, AL 35565-7052
(205) 485-7150
(205) 485-7152
Mailing address
251 JOHNSTON ST SE STE 300, DECATUR, AL 35601-2535
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH1003
AL
261QP2000X
Physical Therapy Clinic/Center
Primary
PTH1003
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
05
—
529917620
—
AL
Enumeration date
01/14/2014
Last updated
05/14/2026
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