| Doctor Name: | JOHN ROBERT WAITE |
| NPI Number: | 1063496289 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT, OCS |
| License Number: | PT16820 |
| Business Practice Address: | 25495 Medical Center Dr Ste 304 Murrieta, CA - 925624902 |
| Business Phone Number: | 9516967474 |
| Business Fax Number: | 9516967575 |
| Mailing Address: | 29645 Rancho California Rd, Ste. 234 TEMECULA |
| State: | CA |
| Postal Code: | 925916200 |
| Phone Number: | 9515063001 |
| Fax Number: | 9515063002 |
| NPI Enumeration Date: | 12/01/2005 |
| NPI Last Update Date: | 06/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | PT16820 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |