Individual
DIANE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 E CHERRY ST, ACKERMAN, MS 39735-9473
(662) 285-2296
Mailing address
11555 HERON BAY BLVD, SUITE 308, CORAL SPRINGS, FL 33076-3360
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA0134
MS
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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