Individual
BREANNE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(800) 334-1919
Mailing address
102 1/2 N 1ST AVE APT 3, WINTERSET, IA 50273-1589
(641) 919-7185
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001468
IA
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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