Individual
MRS. CARRIE S WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
911 COUNTRY CLUB RD, SUITE 150, EUGENE, OR 97401-6044
(541) 895-5913
(541) 895-5941
Mailing address
3599 SPRING BLVD, EUGENE, OR 97405-4446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5097
CA
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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