Individual
DIANNA L WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
939 CAROLINE ST, PORT ANGELES, WA 98362-3909
(360) 417-7315
(360) 452-3531
Mailing address
939 CAROLINE ST, PORT ANGELES, WA 98362-3909
(360) 417-7315
(360) 452-3531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008782
GA
225100000X
Physical Therapist
Primary
15692
NC
225100000X
Physical Therapist
2305211701
VA
Other
Enumeration date
07/17/2015
Last updated
09/23/2024
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