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General NPI Number Information
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NPI Number | 1184455172
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Entity Type | Individual
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Provider Name | HALEY MARIE WATTERS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/12/2024
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 6621 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2399
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Country | US
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Telephone | 832-824-1000
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Fax | 328-252-3018
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Provider Business Mailing Address
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Address Line | 6464 SAN FELIPE ST APT 2403
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City | HOUSTON
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State | TX
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Zip | 77057-2739
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Country | US
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Telephone | 832-596-7406
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1395693
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License Number State | TX
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