Individual
LUKE A WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
10620 PARK RD, SUITE 200, CHARLOTTE, NC 28210-8472
(704) 667-2500
(704) 667-2507
Mailing address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-4370
(704) 355-4231
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1455
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127M5
BCBS
NY
01
—
23315
MEDCOST
NY
01
—
293421
MAMSI
NC
05
—
7301857
—
NC
Enumeration date
08/01/2006
Last updated
07/08/2007
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