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1720486426
LYDIA WATTERS
SAN DIEGO, CA
NPI
1720486426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 2760)
Enumeration Date
2014-12-11
Last Update Date
2014-12-11
Business Address
-- LYDIA WATTERS
9089 CLAIREMONT MESA BLVD SUITE 200 PREFERRED HEALTHCARE REGISTRY
SAN DIEGO, CA 92123
Phone number: 800-787-6787
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Mailing Address
-- LYDIA WATTERS
1224 BERMUDA DR
LAGUNA BEACH, CA 92651-1904
Phone number: 949-484-3271
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