Individual
CHRISTOPHER WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
6591 COLLINS DR STE E8, MOORPARK, CA 93021-1492
(805) 517-0151
Mailing address
135 CAMINO RUIZ APT 146, CAMARILLO, CA 93012-6757
(909) 202-2572
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT292905
CA
Other
Enumeration date
06/18/2017
Last updated
04/03/2018
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