Individual
MRS. DONNA D WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
11821 POSTON RD, PANAMA CITY, FL 32404-2773
(850) 871-9376
Mailing address
11821 POSTON RD, PANAMA CITY, FL 32404-2773
(850) 871-9376
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 264
FL
Other
Enumeration date
05/21/2013
Last updated
05/23/2013
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