Thomas R Waller
Thomas R Waller is a Physical Therapist in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
600 Highland Ave Compliance Mail CODE-2433Madison, WI 53792-0001
Phone: (608) 662-0817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 4061-024 (WI) |
|---|
Record details
| NPI number | 1548274137 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 28, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 600 Highland Ave, Compliance Mail Code-2433, Madison, WI 53792-0001 |
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600 Highland Ave Compliance Mail CODE-2433, Madison, WI 53792-0001 · (608) 662-0817