Individual
JULIE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 SOUTHPARK BLVD, SUITE 100, SAINT AUGUSTINE, FL 32086-4120
(904) 824-1478
Mailing address
31 COQUINA AVE, SAINT AUGUSTINE, FL 32080-4528
(301) 848-6783
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10699
FL
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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