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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JEFFRIE GLENN WATERS, PTA

Active Sole Proprietor

MR. JEFFRIE GLENN WATERS, PTA is a Occupational Therapist healthcare provider located in ATWATER, California. NPI 1821426859 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · ATWATER, CA

Registration Details

NPI Number
1821426859
Provider Type
Individual
Gender
Male
NPI Issued
Oct 30, 2013 (12.762612808092 yrs)
Last Updated
Oct 30, 2013
License
9195 (CA)
Sole Proprietor
Yes

Practice Information

Address
1685 SHAFFER RD
ATWATER, CA, 953014456
Browse CA providers · Browse ZIP 95301
Phone
2093573420
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in ATWATER, CA

Name Credential NPI
ANTHONY GARCIA PTA 1639822232
JAIZIE GONZALEZ PTA 1043994130
MARIANA AVILA PTA 1215617378
TYLER WILHELM PTA 1164285284
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.