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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KARLY KRODELL WALLER, OTD, OTR/L

Active

KARLY KRODELL WALLER, OTD, OTR/L is a Occupational Therapist healthcare provider located in SWANSEA, South Carolina. NPI 1063207629 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SWANSEA, SC

Registration Details

NPI Number
1063207629
Provider Type
Individual
Gender
Female
NPI Issued
Apr 14, 2025 (1.3092431469234 yrs)
Last Updated
Jan 21, 2026
License
7542 (SC)

Practice Information

Address
259 RIVER RIDGE WAY
SWANSEA, SC, 291608287
Browse SC providers · Browse ZIP 29160
Phone
4794452151
Primary Specialty
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.