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Individual
DR. LAWRENCE RONALD WATERS
Active
Individual
DR. LAWRENCE RONALD WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
25087
MA
225100000X
Physical Therapist
Primary
40QA02017300
NJ
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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