Individual
BETHANY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
5601 PLUM CREEK DR, AMARILLO, TX 79124-1801
(772) 913-1123
Mailing address
5601 PLUM CREEK DR, AMARILLO, TX 79124-1801
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111015
TX
225X00000X
Occupational Therapist
1658
NH
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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