Individual
MRS. ANNA STONICA WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11416 N 151ST LN, SURPRISE, AZ 85379-5308
(678) 300-0564
Mailing address
11416 N 151ST LN, SURPRISE, AZ 85379-5308
(678) 300-0564
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10244A
AZ
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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