Individual
MR. WESLEY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
106 OAKWOOD RD, CROSS LANES, WV 25313-1323
(937) 329-1996
Mailing address
106 OAKWOOD RD, CROSS LANES, WV 25313-1323
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1783
WV
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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