Individual
LESLIE M WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 AUBURNDALE DR, DURHAM, NC 27713-2328
(919) 816-7737
Mailing address
1410 AUBURNDALE DR, DURHAM, NC 27713-2328
(919) 816-7737
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3383
NC
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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