Individual
MR. RANDALL SHAWN WATKINS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L, ATC, NSCA-CPT
Contact information
Practice address
29 GREENMEADOW DR, TIMONIUM, MD 21093-3256
(410) 823-0870
Mailing address
7923 SAINT MONICA DR, DUNDALK, MD 21222-3536
(443) 850-1447
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
06421
MD
Other
Enumeration date
10/31/2008
Last updated
11/29/2010
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