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1245398023
JUDITH I WALLER
RENTON, WA
NPI
1245398023
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Other Name
JUDE WALLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00002638)
Enumeration Date
2006-12-05
Last Update Date
2014-01-31
Business Address
Ms. JUDITH I WALLER PT
981 POWELL AVE SW 130
RENTON, WA 98057-2990
Phone number: 206-439-0449
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Mailing Address
Ms. JUDITH I WALLER PT
330 SW 43RD ST SUITE K, PMB 117
RENTON, WA 98057-4900
Phone number: 206-439-0499
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