Individual
ALEXIS WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 RED OAK DR, CRIDERSVILLE, OH 45806-9618
(419) 645-7126
Mailing address
1509 WESTBURY DR, CELINA, OH 45822-8354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017980
OH
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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