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Individual

DR. CHAD WATERBURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
2800 NEILSON WAY APT 1405, SANTA MONICA, CA 90405-4042
(310) 570-6267
Mailing address
2800 NEILSON WAY APT 1405, SANTA MONICA, CA 90405-4042

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT293325
CA

Other

Enumeration date
10/04/2017
Last updated
10/04/2017
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