Individual
MRS. GWYNNE FORREST WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
281 ENTERPRISE CT STE 200, BLOOMFIELD HILLS, MI 48302-0311
(248) 322-5280
(248) 333-1915
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
(586) 541-3735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002715
MI
Other
Enumeration date
04/04/2006
Last updated
01/23/2025
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