Individual
LAYNE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13330 S MEMORIAL DR, BIXBY, OK 74008-3119
(918) 943-5084
Mailing address
7738 N OWASSO EXPY, OWASSO, OK 74055-3338
(918) 928-4255
(918) 928-4258
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2468
OK
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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