Individual
DR. TAYLOR A WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
224 W D. L. INGRAM AVENUE, BLDG 1408, CANNON AFB, NM 88103
(540) 692-4484
Mailing address
1051 SR 311 TRLR 21, CLOVIS, NM 88101-1294
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205357
VA
Other
Enumeration date
02/29/2008
Last updated
11/16/2023
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