Individual
MISS KARLA MARIE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
504 SANTA FE ST, CARROLLTON, MO 64633-1418
(660) 322-2645
Mailing address
504 SANTA FE ST, CARROLLTON, MO 64633-1418
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2005031070
MO
Other
Enumeration date
03/18/2021
Last updated
03/23/2021
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