Individual
SHEILA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R./L.
Contact information
Practice address
1000 E 1ST ST STE 400, DULUTH, MN 55805-2297
(218) 722-5513
(218) 722-6515
Mailing address
1000 E 1ST ST STE 400, DULUTH, MN 55805-2297
(218) 722-5513
(218) 722-6515
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102280
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180103100
—
MN
01
—
276S9CA
BCBS MN INDIVIDUAL
MN
05
—
40847800
—
WI
01
—
6402657
MN MEDICA INDIVIDUAL
MN
Enumeration date
09/16/2006
Last updated
07/21/2022
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