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1689618852
JOSEPH R. WALLER
WAUPACA, WI
NPI
1689618852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 6231-024)
Enumeration Date
2006-06-16
Last Update Date
2013-06-27
Business Address
-- JOSEPH R. WALLER P.T.
E3277 APPLE TREE LN
WAUPACA, WI 54981-7580
Phone number: 715-256-0358
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Mailing Address
-- JOSEPH R. WALLER P.T.
4000 N PROVIDENCE AVE
APPLETON, WI 54913-8018
Phone number: 920-257-2005
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