LYDIA WATTERS

SAN DIEGO, CA
NPI1720486426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  2760)
Enumeration Date2014-12-11
Last Update Date2014-12-11
Business Address
-- LYDIA WATTERS
9089 CLAIREMONT MESA BLVD SUITE 200 PREFERRED HEALTHCARE REGISTRY
SAN DIEGO, CA 92123
Phone number: 800-787-6787
Mailing Address
-- LYDIA WATTERS
1224 BERMUDA DR
LAGUNA BEACH, CA 92651-1904
Phone number: 949-484-3271