Individual
LUKE A WATSON
Active
Individual
LUKE A WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
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
Update your record
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