Individual
JAMIE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
300 N WASHINGTON ST, WAKARUSA, IN 46573-9590
(574) 862-4511
Mailing address
802 N TOWNLINE RD, LAGRANGE, IN 46761-1128
(260) 336-0121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002521A
IN
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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