Individual
EMILY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5669 LAKESHORE RD, FORT GRATIOT, MI 48059-2817
(810) 386-7260
Mailing address
6990 COUNTY FARM RD, LEXINGTON, MI 48450-9320
(810) 404-9071
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010879
MI
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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