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

MARK WALLER, PT

Active

MARK WALLER, PT is a Physical Therapy Assistant healthcare provider located in LEHIGH ACRES, Florida. NPI 1801525381 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LEHIGH ACRES, FL

Registration Details

NPI Number
1801525381
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2022 (3.9971421554244 yrs)
Last Updated
Jun 9, 2022
License
16250 (FL)

Practice Information

Address
11742 EROS RD
LEHIGH ACRES, FL, 339713759
Browse FL providers · Browse ZIP 33971
Phone
2396718962
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LEHIGH ACRES, FL

Name Credential NPI
MARGARITA HARRIS PT 1023070620
MS. PATRICIA JACKSON PT 1902027329
NOEL DAGTA PT 1730392572
MR. ERIK SHANE PECORE PT ATC 1821209636
TODD D SMITH MPT 1598957672
MICHELLE OLEA NAVARRO 1851543904
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.