Individual
KIMBERLY GLORIA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1011 UNIVERSITY AVE, COLFAX, WI 54730
(715) 962-3186
Mailing address
2628 14TH ST, EAU CLAIRE, WI 54703-2621
(715) 828-4425
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3813-26
WI
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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