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Individual

REBECCA BADGEROW-WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT,OCS

Contact information

Practice address
236 SOUTHWOODS CTR, COLUMBIA, IL 62236-2462
(618) 281-0374
(618) 281-0674
Mailing address
236 SOUTHWOODS CTR, COLUMBIA, IL 62236-2462
(618) 281-0374
(618) 281-0674

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06732025
BCBS OF IL
01
13897
ESSENCE HEALTHCARE
01
205903
BCBS OF MO
01
277645
GHP
01
5660579
FIRST HEALTH CCN
01
7361646
AETNA
01
737359
HEALTHLINK
01
9419162
PHCS
01
K23120
MERCY
Enumeration date
11/14/2006
Last updated
07/08/2007
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