Individual
SHELBY JO WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
232 BRITE RD, CIBOLO, TX 78108-3899
(210) 566-1269
Mailing address
10419 RINDERFARM CT, NEW BRAUNFELS, TX 78132-3879
(903) 722-0982
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2143312
TX
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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