Individual
MICHAEL WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
35 RAY E TALLEY CT, SIMPSONVILLE, SC 29680-6772
(864) 967-4600
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019603
IL
Other
Enumeration date
11/12/2012
Last updated
06/20/2022
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