Individual
JESSICA WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
5555 TRANSPORTATION BLVD, GARFIELD HEIGHTS, OH 44125-5371
(216) 518-3626
Mailing address
5555 TRANSPORTATION BLVD, GARFIELD HEIGHTS, OH 44125-5371
(216) 518-3626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-020727
IL
225100000X
Physical Therapist
P14877
NC
2251X0800X
Orthopedic Physical Therapist
Primary
015251
OH
Other
Enumeration date
05/27/2014
Last updated
12/07/2022
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