| NPI | 1912951864 |
|---|---|
| Former Name | LINDA J WALLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: IL 056-001437) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056-001437) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2014-06-23 |