Individual
EMILY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
562 BROOKFIELD DR, CENTREVILLE, MD 21617-2393
(612) 703-1235
Mailing address
562 BROOKFIELD DR, CENTREVILLE, MD 21617-2393
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06394
MD
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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