Individual
TERI LYNN WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 CHEVY LN, PIQUA, OH 45356-8559
(937) 622-2216
Mailing address
1135 CHEVY LN, PIQUA, OH 45356-8559
(937) 622-2216
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
5504725
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5504725
—
OH
Enumeration date
11/02/2020
Last updated
11/02/2020
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