Individual
MR. CHRISTOPHER DARIUS WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT/R
Contact information
Practice address
6124 BUCKINGHAM PKWY UNIT 204, CULVER CITY, CA 90230-7223
(310) 614-5481
Mailing address
6124 BUCKINGHAM PKWY UNIT 204, CULVER CITY, CA 90230-7223
(310) 614-5481
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21399
CA
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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