Individual
MR. ANTHONY RAY WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
550 DEEP VALLEY DR, ROLLING HILLS ESTATES, CA 90274-3664
(310) 544-6264
Mailing address
25017 DORIA AVE, LOMITA, CA 90717-1707
(310) 528-0733
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
18818
CA
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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