Individual
MR. TIMOTHY WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.SC (PHYSIOTHERAPY)
Contact information
Practice address
1441 KAPIOLANI BLVD, SUITE 1113, HONOLULU, HI 96814-4402
(808) 218-3660
Mailing address
1031 MAUNAIHI PL, SUITE 808, HONOLULU, HI 96822-3479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1996
HI
Other
Enumeration date
09/21/2005
Last updated
10/10/2008
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