Waller, Deanna Louise

Waller, Deanna Louise is an sole proprietor health care provider with primary practice located at 500 Grand Plaza , Orange City FL 32763. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Waller, Deanna Louise can be contacted via phone (386) 775-0855.

Contact Information

Primary practice address
500 Grand Plaza Orange City FL 32763
Phone: (386) 775-0855
Fax: (386) 775-0855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA19131 Florida

Profile Details

NPI number 1588787360
LBN Legal business name Waller, Deanna Louise
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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