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1790146686
DANIEL P. WALLER
HAMMOND, LA
NPI
1790146686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.200844)
Enumeration Date
2016-03-18
Last Update Date
2016-03-18
Business Address
Mr. DANIEL P. WALLER LOTR
2101 ROBIN AVE STE 4
HAMMOND, LA 70403-5774
Phone number: 985-230-6160
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Mailing Address
Mr. DANIEL P. WALLER LOTR
40080 N RATEAU RD
PONCHATOULA, LA 70454-8822
Phone number:
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