Individual
KELSEY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
401 NELSON BLVD, KINGSTREE, SC 29556-4024
(843) 355-6116
Mailing address
100B LYNCH RD, COWARD, SC 29530-5502
(423) 291-0186
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17235
NC
225X00000X
Occupational Therapist
Primary
6951
SC
225X00000X
Occupational Therapist
7473
TN
Other
Enumeration date
01/05/2019
Last updated
11/21/2024
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