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Organization
STRIATIONS FITNESS SPORTS MEDICINE AND OCCUPATIONAL THERAPY, LLC
Active
Organization
STRIATIONS FITNESS SPORTS MEDICINE AND OCCUPATIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL SHAWN WATKINS SR. OTR/L, ATC, NSCA-CPT (PRESIDENT/OCCUPATIONAL THERAPIST)
(443) 850-1447
Entity
Organization
Contact information
Practice address
29 GREENMEADOW DR, TIMONIUM, MD 21093-3256
(410) 823-0870
Mailing address
7923 SAINT MONICA DR, DUNDALK, MD 21222-3536
(443) 850-1447
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
06421
MD
Other
Enumeration date
10/18/2010
Last updated
12/13/2010
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