Individual
MRS. MICHELLE LYNNE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT OCS ATC
Contact information
Practice address
2937 SOUTH BRENTWOOD BLVD, BRENTWOOD, MO 63144
(314) 961-3804
(314) 961-1147
Mailing address
16201 PEPPER VIEW CT, CHESTERFIELD, MO 63005
(636) 532-6167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
113762
MO
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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