Individual
JEFFREY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2810 SPRINGFIELD RD, MOUNT VERNON, IN 47620-8062
(812) 306-3412
Mailing address
2810 SPRINGFIELD RD, MOUNT VERNON, IN 47620-8062
(812) 306-3412
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.0037424
IL
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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