Individual
MARY ANN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4772 KATELLA AVE STE 100, LOS ALAMITOS, CA 90720-2681
(562) 430-8700
Mailing address
6082 JADE CIR, HUNTINGTON BEACH, CA 92647-2226
(714) 402-0719
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
4430
CA
225XH1200X
Hand Occupational Therapist
Primary
25622
CA
Other
Enumeration date
06/19/2018
Last updated
10/26/2023
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