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

SANDRA WALLER, CERTIFIED HAIR LOSS

Active Sole Proprietor

SANDRA WALLER, CERTIFIED HAIR LOSS is a Physical Therapist Assistant healthcare provider located in LYNCHBURG, Virginia. NPI 1609277888 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · LYNCHBURG, VA

Registration Details

NPI Number
1609277888
Provider Type
Individual
Gender
Female
NPI Issued
Sep 8, 2014 (11.96416655792 yrs)
Last Updated
Sep 8, 2014
License
1201080783 (VA)
Sole Proprietor
Yes

Practice Information

Address
3106 MEMORIAL AVE
LYNCHBURG, VA, 245013730
Browse VA providers · Browse ZIP 24501
Phone
4348454448
Primary Specialty
Physical Therapist Assistant
1744P3200X
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.