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Mark Waller, PT

NPI 1801525381 · on the registry since 2022

Practice

Address
11742 Eros Rd
Lehigh Acres, FL 33971
Phone
(239) 671-8962

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida