Individual
CELESTE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 MCCREARY RD, WYLIE, TX 75098-8776
(972) 369-6662
Mailing address
9913 SOUTHGATE DR, MCKINNEY, TX 75072
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2128713
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128713
ECPTOTE
TX
Enumeration date
08/20/2018
Last updated
08/20/2018
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