| NPI | 1245351519 |
|---|---|
| Other Name | PAMELA L WALLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM 1787) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 517) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |