Individual
HEATHER WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 BROOKSIDE DR, WILLITS, CA 95490-3303
(707) 841-7108
Mailing address
10 BROOKSIDE DR, WILLITS, CA 95490-3303
(707) 841-7108
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
9623
CA
225XP0200X
Pediatric Occupational Therapist
Primary
9623
CA
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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