EULANDA LARA WALLER

MACON, GA
NPI1073759619
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT003394)
Enumeration Date2009-01-04
Last Update Date2013-02-28
Business Address
Ms. EULANDA LARA WALLER OTR/L
315 CHRISTINA CT
MACON, GA 31217-4528
Phone number: 478-318-2313
Mailing Address
Ms. EULANDA LARA WALLER OTR/L
315 CHRISTINA CT
MACON, GA 31217-1331
Phone number: 478-318-2313
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