Individual
MRS. STACEY LYNN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
611 N MAIN ST, WILBER, NE 68465-2500
(402) 821-2331
Mailing address
6040 S 58TH ST, STE. C, LINCOLN, NE 68516-3695
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1048
NE
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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