MARA WALLER

SAINT PAUL, MN
NPI1396128427
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MN  A1906)
Enumeration Date2015-07-07
Last Update Date2015-07-07
Business Address
-- MARA WALLER
500 ROBERT ST N UNIT 606
SAINT PAUL, MN 55101-4456
Phone number: 612-581-0468
Mailing Address
-- MARA WALLER
500 ROBERT ST N UNIT 606
SAINT PAUL, MN 55101-4456
Phone number: 612-581-0468