Individual
KIMBERELY ANN WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7074 E FIFTH AVE, SCOTTSDALE, AZ 85251-3216
(480) 429-3778
(480) 429-3778
Mailing address
7074 E FIFTH AVE, SCOTTSDALE, AZ 85251-3216
(480) 429-3778
(480) 429-3778
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
1068587
AZ
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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