Individual
MRS. ELIZABETH TERESA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
(505) 693-9944
Mailing address
140 LITTLE RIVER RD, CANTON, NY 13617-6534
(315) 212-2141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09100
OR
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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