Lydia Watters

NPI 1720486426 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1720486426
Gender Female
Enumeration Date 12/11/2014
Last Updated 12/11/2014
Entity Type Individual
Active Over 1 year ago
Practice Location
9089 CLAIREMONT MESA BLVD SUITE 200
PREFERRED HEALTHCARE REGISTRY
SAN DIEGO CA, 92123, US
Phone (800) 787-6787
Fax
Business Location
1224 BERMUDA DR
LAGUNA BEACH CA, 92651-1904, US
Phone (949) 484-3271
Fax
Toxanomy
Taxonomy Code 225200000X
License State California
License Number 2760
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According to our database, Lydia Watters NPI is 1720486426, taxonomy code is 225200000X and license number is 2760, license state is located at California. Lydia Watters physically located at 9089 Clairemont Mesa Blvd Suite 200, San Diego CA, 92123. NPI Number Lydia Watters has the Individual type.

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1720486426 NPI number is provided on an as is basis without warranty of any kind. 1720486426 is maintained by the National Plan & Provider Enumeration System. The contents of Lydia Watters are for informational purposes only.