Individual
LESLIE ANN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2076
CO
225100000X
Physical Therapist
7606
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96933828
—
CO
Enumeration date
03/27/2007
Last updated
01/24/2011
Update your record
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