John Waller
John Waller is a Physical Therapist in Jacksonville, Florida. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
3604 Cardinal Point DrJacksonville, FL 32257-5581
Phone: (904) 448-8227
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1548379142 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 29, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 14416 Pond Place Dr, Jacksonville, FL 32223-2593 |
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