Individual provider · Type 1 NPI

Eulanda Lara Waller, OTR/L

Occupational Therapist · Macon, GA

NPI number 1073759619 Active

Practice location

315 Christina Ct
Macon, GA 31217-4528

Call (478) 318-2313 Map

Fax (478) 755-0335

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT003394 (GA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1073759619

Eulanda Lara Waller, OTR/L's National Provider Identifier is 1073759619, issued on Jan 4, 2009. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Macon, GA. The record was last updated on Feb 28, 2013.