Individual
MEGHAN WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51600 HUNTINGTON RD STE 103, LA PINE, OR 97739-8887
(541) 536-7443
Mailing address
805 SW INDUSTRIAL WAY STE 3, BEND, OR 97702-1093
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65196
OR
225100000X
Physical Therapist
PT60455582
WA
Other
Enumeration date
07/15/2014
Last updated
10/28/2025
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