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

ERIC DOUGLAS WALLER, PTA

Active Sole Proprietor

ERIC DOUGLAS WALLER, PTA is a Occupational Therapist healthcare provider located in MOUNT PLEASANT, Michigan. NPI 1134841042 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MOUNT PLEASANT, MI

Registration Details

NPI Number
1134841042
Provider Type
Individual
Gender
Male
NPI Issued
Sep 16, 2022 (3.893914455889 yrs)
Last Updated
Sep 16, 2022
License
5502000667 (MI)
Sole Proprietor
Yes

Practice Information

Address
1620 S MISSION ST STE O
MOUNT PLEASANT, MI, 488584466
Browse MI providers · Browse ZIP 48858
Phone
9892820320
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in MOUNT PLEASANT, MI

Name Credential NPI
MRS. ASHLEY SUE ROBINSON PTA 1720381718
MRS. ARLEE ANN SANDERS PTA 1194007526
KARA RASTELLO 1598016081
BRADLEY WEBSTER 1720417702
MRS. CRYSTAL MEISTER 1285063263
NICHOLAS SCOTT 1215457395
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.