Randy Waller
Randy Waller is an Occupational Therapist in Salt Lake City, Utah. Licensed in Arizona. Registered with an NPI since 2007.
- Licensed in
- AZ
- In the registry since
- 2007
Practice location Address checks out
1952 E 7000 S Ste 100Salt Lake City, UT 84121-6878
Phone: (801) 942-3311
Fax: (801) 942-5955
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 3286 (AZ) |
|---|
Record details
| NPI number | 1982884771 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 8, 2007 |
| Last updated in NPPES | November 8, 2007 |
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Mrs. Stephanie Leeann Wall, MOT
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Jean C Warren
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Eloise Weathersby
1952 E 7000 S, Salt Lake City, UT 84121-6877 · (801) 942-3311