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Individual
LINDA M WATSON
Active
Individual
LINDA M WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002450L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA265258
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/05/2006
Last updated
07/19/2007
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