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Individual
MR. JOHN THOMAS WATERS JR.
Active
Individual
MR. JOHN THOMAS WATERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT007658L
PA
2255A2300X
Athletic Trainer
Primary
RT001779A
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0290413000
HIGHMARK
PA
Enumeration date
05/02/2006
Last updated
07/13/2026
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