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1093201378
KATHERINE LORRAINE WATERS
SAN DIEGO, CA
NPI
1093201378
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Former Name
KATHERINE LORRAINE HALTIWANGER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 294964)
Enumeration Date
2018-07-10
Last Update Date
2018-07-10
Business Address
KATHERINE LORRAINE WATERS PT, DPT
3704 RUFFIN RD
SAN DIEGO, CA 92123-1812
Phone number: 619-930-9750
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Mailing Address
KATHERINE LORRAINE WATERS PT, DPT
1331 CONNECTICUT ST
IMPERIAL BEACH, CA 91932-3223
Phone number: 619-930-9750
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