Individual
MICHAEL BRANDON WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 FISHER LOOP, MAGGIE VALLEY, NC 28751-5531
(610) 925-4114
Mailing address
570 BEAVERDAM RD, ASHEVILLE, NC 28804-1946
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4572
NC
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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