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Individual

EMMA GRACE WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
2155 FORD PKWY, SAINT PAUL, MN 55116-2799
(651) 696-5010
Mailing address
2133 MASON GREEN DR, BALLWIN, MO 63011-4419

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
05/29/2021
Last updated
05/29/2021
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