Individual
DIANNE LYNN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
631 MAIN STREET, RICHFIELD, PA 17086-0248
(717) 694-3434
Mailing address
135 WATTS LN, MC ALISTERVILLE, PA 17049-8056
(717) 463-0014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008098L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT008098L
PHYSICAL THERAPY LICENSE
PA
Enumeration date
02/07/2007
Last updated
01/05/2012
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