DEANNA LOUISE WALLER

ORANGE CITY, FL
NPI1588787360
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA19131)
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
Miss DEANNA LOUISE WALLER P.T.A.
500 GRAND PLAZA
ORANGE CITY, FL 32763
Phone number: 386-775-0855
Mailing Address
Miss DEANNA LOUISE WALLER P.T.A.
2341 EL PRADO TERRACE
DELTONA, FL 32763
Phone number: 386-747-0645
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