NPI age
17 years
Enumerated 2009-01-04
● Active
Type 1 · Individual
MS. Eulanda Lara Waller, OTR/L
Waller is 1 of 54 occupational therapist providers in MacOn and 1 of 3276 in Georgia.
Primary specialty
Occupational Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-02-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 3276 active occupational therapist providers in Georgia.
NPI age
17 years
↑ 8 yr above median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-01Enumerated in NPPES
2009
2026
Where they practice
Practice location
315 Christina Ct
MacOn, GA 312174528
Mailing address
315 Christina Ct
MacOn, GA 312171331
Specialties
-
Occupational Therapist PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 874780070A |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 2 new occupational therapist providers have been added in MacOn in the last 180 days.
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