Individual
NATALIA JOHANNA WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1656 S JEFFERSON ST, MONTICELLO, FL 32344-1652
(850) 997-7269
Mailing address
4621 DEEP CREEK TER, PARRISH, FL 34219-2917
(850) 218-2597
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
014259
NY
225200000X
Physical Therapy Assistant
PRD-PTA-LIC-35127
MT
225200000X
Physical Therapy Assistant
Primary
PTA26805
FL
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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