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Individual

MRS. LOETTA MAE WATERS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
Mailing address
9223 SW 61ST ST, TOPEKA, KS 66610-9016
(785) 478-9206

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-00677
KS

Other

Enumeration date
05/08/2006
Last updated
07/08/2007
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