NPI 1154518918

Gary Thomas Waters, LMT

Practitioner Contractor Orlando, FL

Practice location

Address: 9719 Dean Acre CT, Orlando, FL 32825-6557
Phone: (407) 497-9235
Fax: (407) 249-2167

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MA24290 (FL)

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Registry record

NPI: 1154518918
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2007
Record last updated: 26 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.