Individual
MRS. EMILIE ANN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3577 LAKE EMMA RD, ST 109, LAKE MARY, FL 32746-2056
(407) 936-0314
(407) 936-0316
Mailing address
6293 RIVER RUN PL, ORLANDO, FL 32807-4273
(407) 936-0314
(407) 936-0316
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA22632
FL
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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