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

MRS. TIARRA DANIELLE WALLER, OTR/L

Active

MRS. TIARRA DANIELLE WALLER, OTR/L is a Occupational Therapist healthcare provider located in STE GENEVIEVE, Missouri. NPI 1295472884 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · STE GENEVIEVE, MO

Registration Details

NPI Number
1295472884
Provider Type
Individual
Gender
Female
NPI Issued
May 16, 2022 (4.0656389774377 yrs)
Last Updated
May 16, 2022
License
2021006924 (MO)

Practice Information

Address
21964 HIGHWAY 32
STE GENEVIEVE, MO, 636709190
Browse MO providers · Browse ZIP 63670
Phone
5738839366
Fax
5738839377
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in STE GENEVIEVE, MO

Name Credential NPI
MRS. MARY CLARE ROZIER OTR-L 1275661761
COURTNEY LYNN BERGMAN 1396496865
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.