Individual
DEMONSO WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3915 ELSON RD, BROOKHAVEN, PA 19015-1943
(610) 505-5160
Mailing address
1412 LANSDOWNE AVE, DARBY, PA 19023-1218
(610) 461-6510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002091
PA
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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