Individual
DANIEL K WATTERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
350 N MAIN ST, COOPERSBURG, PA 18036-1532
(610) 282-4777
(610) 282-0631
Mailing address
350 N MAIN ST, COOPERSBURG, PA 18036-1532
(610) 282-4777
(610) 282-0631
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
4808
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01509975/01
—
PA
Enumeration date
08/10/2005
Last updated
07/08/2007
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