Individual
PAMELA ORA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-4104
Mailing address
238 WALLACE LN, BRISTOL, TN 37620-0952
(423) 335-1563
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA299
TN
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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