Individual
ELIZABETH ANN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED MOT OTR/L IBCLC
Contact information
Practice address
4385 W 60TH ST, CLEVELAND, OH 44144-2807
(216) 659-1966
Mailing address
4385 W 60TH ST, CLEVELAND, OH 44144-2807
(216) 659-1966
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
225X00000X
Occupational Therapist
Primary
OT011370
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11155310
IBLCE
—
01
—
L-35522
IBLCE
—
01
—
OT011370
NBCOT
OH
Enumeration date
01/21/2013
Last updated
04/04/2021
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