Individual
DR. ANTHONY WAYNE WALIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2901 E BARNETT RD, MEDFORD, OR 97504-8308
(541) 779-4221
Mailing address
2895 N MYRTLE RD, MYRTLE CREEK, OR 97457-9660
(619) 300-5361
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9881
OR
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
9881
OR
Other
Enumeration date
10/20/2021
Last updated
10/25/2021
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