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Individual

LAUREN M WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
6307 CENTER ST, 105, OMAHA, NE 68106-3458
(402) 932-6791
Mailing address
PO BOX 34669, OMAHA, NE 68134-0669
(402) 932-6791

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05010318A
IN
225100000X
Physical Therapist
12183-24
WI
225100000X
Physical Therapist
Primary
3521
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100239270
IN
Enumeration date
06/15/2010
Last updated
09/08/2015
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