Individual
MRS. TRACEY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
286 CADMAN DR, WILLIAMSVILLE, NY 14221-6948
(716) 631-1641
Mailing address
286 CADMAN DR, WILLIAMSVILLE, NY 14221-6948
(716) 631-1641
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
018056-1
NY
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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