Individual
CHRISTOPHER WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, CES, PES
Contact information
Practice address
1408 TECH FARM RD, APT C-6, RUSTON, LA 71270-5462
(843) 254-9202
Mailing address
1408 TECH FARM RD, APT C-6, RUSTON, LA 71270-5462
(843) 254-9202
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200475
LA
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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