Individual
MISS VERNICE LAVERN WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7733 FORSYTH BLVD, SUITE 2300, SAINT LOUIS, MO 63105-1817
(800) 677-1238
(314) 863-0769
Mailing address
16743 SHEA AVE, HAZEL CREST, IL 60429-1344
(708) 566-1099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002447
IL
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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