Individual
CHAD WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 N ROLLING RD STE 305, CATONSVILLE, MD 21228-4142
(443) 500-0204
Mailing address
5007 TIDLER CT, GLENN DALE, MD 20769-9111
(443) 500-0204
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2399
DC
Other
Enumeration date
12/11/2018
Last updated
02/08/2019
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