Individual
KELLY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1662-A LAKESHORE COURT, BIRMINGHAM, AL 35209
(256) 684-0712
Mailing address
1662-A LAKESHORE COURT, BIRMINGHAM, AL 35209
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3773
AL
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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