THOMAS R WALLER

MADISON, WI
NPI1548274137
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  4061-024)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
-- THOMAS R WALLER
600 HIGHLAND AVE COMPLIANCE MAIL CODE-2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
Mailing Address
-- THOMAS R WALLER
600 HIGHLAND AVE COMPLIANCE MAIL CODE-2433
MADISON, WI 53792-0001
Phone number:
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