Individual
DAVID WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
885 CANARIOS CT STE 110, CHULA VISTA, CA 91910-7877
(619) 656-5102
Mailing address
885 CANARIOS CT STE 110, CHULA VISTA, CA 91910-7877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15350
OT LICENSE
CA
01
—
W17066
MEDICARE GROUP PTAN
CA
Enumeration date
09/08/2016
Last updated
09/08/2016
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