Eulanda Lara Waller, OTR/L

Occupational Therapist · Macon, GA

Individual Active NPI

NPI number 1073759619

Practice location

315 Christina Ct
Macon, GA 31217-4528
Phone
(478) 318-2313
Fax
(478) 755-0335

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NPI record

NPI
1073759619
Entity type
Individual (Type 1)
Enumeration date
January 4, 2009
Last updated
February 28, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X OT003394 GA

Mailing address

315 Christina Ct
Macon, GA 31217-1331
Phone
(478) 318-2313

About Eulanda Waller

Eulanda Lara Waller, OTR/L is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 315 Christina Ct, Macon, GA 31217-4528. The NPI number 1073759619 was assigned on January 4, 2009 and the record was last updated on February 28, 2013.

Eulanda Waller lists a license in the registry: #OT003394 (GA) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eulanda Lara Waller, OTR/L?

The NPI number is 1073759619.

What is the phone number of Eulanda Waller?

The phone number listed for the practice location is (478) 318-2313.

Where is Eulanda Waller located?

315 Christina Ct, Macon, GA 31217-4528.

What is the taxonomy code for Eulanda Waller?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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