DANIEL P. WALLER

HAMMOND, LA
NPI1790146686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  OTT.200844)
Enumeration Date2016-03-18
Last Update Date2016-03-18
Business Address
Mr. DANIEL P. WALLER LOTR
2101 ROBIN AVE STE 4
HAMMOND, LA 70403-5774
Phone number: 985-230-6160
Mailing Address
Mr. DANIEL P. WALLER LOTR
40080 N RATEAU RD
PONCHATOULA, LA 70454-8822
Phone number: