KENNETH WAYNE WATERS

BROKEN ARROW, OK
NPI1184837064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  PT 1396)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
Mr. KENNETH WAYNE WATERS PT, MBA
2704 S ASPEN CT
BROKEN ARROW, OK 74012-7301
Phone number: 918-451-5143
Mailing Address
Mr. KENNETH WAYNE WATERS PT, MBA
2704 S ASPEN CT
BROKEN ARROW, OK 74012-7301
Phone number: 918-645-1803
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