Individual
CAROL WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2727 MCCLELLAND BLVD, JOPLIN, MO 64804-1626
(417) 781-2727
Mailing address
1421 TYSON DR, JOPLIN, MO 64801-4012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
111685
MO
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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