Gary Thomas Waters, L.M.T.

NPI #1154518918 in Orlando, Florida

Provider Information

NPI Number: 1154518918
Entity Type: Individual
Name: Gary Thomas Waters, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: L.M.T.
Enumeration Date: Sep 26, 2007
Last Updated: Sep 26, 2007

Practice Location

Address: 9719 DEAN ACRE CT
City: Orlando
State: Florida
ZIP Code: 32825-6557
Phone: (407) 497-9235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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