Doctor Name: | MS. MARY LOUISE WATERMAN |
NPI Number: | 1780865238 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5501 |
Business Practice Address: | Criterion-stoneham Early Intervention Program 8 Henshaw St Woburn, MA - 01801 |
Business Phone Number: | 7819353855 |
Business Fax Number: | 7819355250 |
Mailing Address: | 8 Henshaw St, Suite F WOBURN |
State: | MA |
Postal Code: | 018014624 |
Phone Number: | 7819353855 |
Fax Number: | |
NPI Enumeration Date: | 11/26/2007 |
NPI Last Update Date: | 11/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |