Individual
STEPHANIE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
165 HIGHBLUFFS BLVD, COLUMBUS, OH 43235-1484
(614) 846-6076
Mailing address
165 HIGHBLUFFS BLVD, COLUMBUS, OH 43235-1484
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
03552
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225200000X
—
OH
Enumeration date
02/27/2023
Last updated
02/27/2023
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