Individual
MS. BRENDA NANETTE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5325 N OAK ST APT C104, BETHEL HEIGHTS, AR 72764-8675
(479) 751-7875
Mailing address
5325 N OAK ST APT C104, BETHEL HEIGHTS, AR 72764-8675
(479) 751-7875
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1738
AR
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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