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Individual
JACI WATSON
Active
Individual
JACI WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
144A
SD
224Z00000X
Occupational Therapy Assistant
5302
AZ
225XG0600X
Gerontology Occupational Therapist
Primary
5472
AZ
Other
Enumeration date
11/27/2012
Last updated
05/15/2014
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