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Individual

MR. JOHN THOMAS WATERS JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2804 AUDUBON VILLAGE DR, NORRISTOWN, PA 19403-2262
(610) 676-0411
(610) 676-0412
Mailing address
2804 AUDUBON VILLAGE DR, NORRISTOWN, PA 19403-2262
(610) 676-0411
(610) 676-0412

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
09/11/2025
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