Individual
MATTHEW EDWARD WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
28535 DUPONT BLVD, UNIT 1, MILLSBORO, DE 19966-4799
(302) 297-0700
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002910
DE
Other
Enumeration date
11/16/2012
Last updated
12/27/2012
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