| NPI | 1740628304 |
|---|---|
| Former Name | EMILY WATERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9585) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011717) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2020-01-07 |