Individual
CHARLES MICHAEL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
193 CHESTNUT AVE, STATEN ISLAND, NY 10305-1740
(347) 220-9325
Mailing address
193 CHESTNUT AVE, STATEN ISLAND, NY 10305-1740
(347) 220-9325
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009905-1
NY
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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