Individual
MS. EDITH VERONICA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
829 S BLAINE STREET, NORTH WEBSTER, IN 46555-9112
(574) 518-2537
Mailing address
829 S BLAINE ST, NORTH WEBSTER, IN 46555-9112
(574) 518-2537
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
05008978A
IN
225200000X
Physical Therapy Assistant
1257
SC
225200000X
Physical Therapy Assistant
PTA21625
FL
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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