Individual
JESSICA E WATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3633 W WATERS AVE, TAMPA, FL 33614-2783
(813) 932-5119
Mailing address
3633 W WATERS AVE, TAMPA, FL 33614-2783
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22184
FL
Other
Enumeration date
09/07/2010
Last updated
08/08/2012
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