Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Deanna Louise Waller, PTA

Individual provider Physical Therapy Assistant · NPI 1588787360

Miss. Deanna Louise Waller, PTA is a Physical Therapy Assistant in Orange City, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

500 Grand Plz
Orange City, FL 32763
Phone: (386) 775-0855
Fax: (386) 775-0855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA19131 (FL)

Record details

NPI number1588787360
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 9, 2007
Last updated in NPPESJuly 8, 2007

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