Gary Thomas Waters, L.M.T.
Contractor in Orlando, FL. Individual provider (NPI-1).
NPI number1154518918
StatusActive
Last updated in NPPESSep 26, 2007
Details
- NPI
- 1154518918
- Entity type
- Individual (NPI-1)
- Name
- Gary Thomas Waters
- Credential
- L.M.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2007
- Last updated
- Sep 26, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | ma24290 | FL | Yes |
Practice location
9719 Dean Acre CtOrlando, FL 32825-6557
Phone 407-497-9235 · Fax 407-249-2167
Mailing address
9719 Dean Acre CtOrlando, FL 32825-6557
Phone 407-497-9235 · Fax 407-249-2167
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