Individual
MASHAWN LEWIS WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31023 BIRCHLAWN ST, GARDEN CITY, MI 48135-1995
(313) 492-6796
Mailing address
31023 BIRCHLAWN ST, GARDEN CITY, MI 48135-1995
(313) 492-6796
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005982
MI
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
01/10/2022
Last updated
01/20/2022
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