Tiffany Dawn Waters, PT

NPI #1356964670 in Jonesboro, Louisiana

Provider Information

NPI Number: 1356964670
Entity Type: Individual
Name: Tiffany Dawn Waters, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 20, 2020
Last Updated: May 20, 2020

Practice Location

Address: 260 LAKE RIDGE TRL
City: Jonesboro
State: Louisiana
ZIP Code: 71251-6621
Phone: (318) 245-4332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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