Individual
NATHAN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3711 KILKENNY DR, COLUMBUS, OH 43221-4446
(614) 530-1402
Mailing address
3711 KILKENNY DR, COLUMBUS, OH 43221-4446
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007294
OH
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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