Individual
OLIVIA L WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
1302 WINDSTREAM ST, DENTON, TX 76209-1060
(512) 909-5220
Mailing address
1302 WINDSTREAM ST, DENTON, TX 76209-1060
(512) 909-5220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9316
TX
2255A2300X
Athletic Trainer
—
TX
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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