Katherine Lorraine Waters, PT, DPT | |
3704 Ruffin Rd, San Diego, CA 92123-1812 | |
(619) 930-9750 | |
Not Available |
Full Name | Katherine Lorraine Waters |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3704 Ruffin Rd, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093201378 | NPI | - | NPPES |
294964 | Other | CA | PT LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 294964 (California) | Primary |
Provider Name | Austin Sports Medicine Llp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770553653 PECOS PAC ID: 3779596986 Enrollment ID: O20060710000259 |
Mailing Address | Practice Location Address |
---|---|
Katherine Lorraine Waters, PT, DPT 1331 Connecticut St, Imperial Beach, CA 91932-3223 Ph: (619) 930-9750 | Katherine Lorraine Waters, PT, DPT 3704 Ruffin Rd, San Diego, CA 92123-1812 Ph: (619) 930-9750 |
Carmen L Luk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 Phone: 760-209-4868 | |
Emily Richard, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3115 Ocean Front Walk, San Diego, CA 92109 Phone: 858-488-3597 Fax: 858-746-4041 | |
Dr. Alona Mary Yacobovsky, DPT, CWS, COMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8555 Station Village Ln Apt 3217, San Diego, CA 92108 Phone: 702-525-9299 | |
Sean S Mcintire, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4435 Eastgate Mall, #120, San Diego, CA 92121 Phone: 858-587-8669 Fax: 858-587-8675 | |
Elena Hapke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4094 4th Ave, San Diego, CA 92103 Phone: 619-515-2545 | |
Jon Garrelts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7189 | |
Dobromira Andreeva Arsova, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6977 Navajo Rd # 445, San Diego, CA 92119 Phone: 858-848-9917 Fax: 858-987-8653 |