Individual
MS. MELISSA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4737 TIMBERLAND DR, PACE, FL 32571-6218
(850) 512-9358
Mailing address
4737 TIMBERLAND DR, PACE, FL 32571-6218
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22206PTA
FL
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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