Individual
CAROLYN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
64 GENESSEE AVE, OCEANPORT, NJ 07757
(908) 675-6112
Mailing address
64 GENESSEE AVE, OCEANPORT, NJ 07757-1707
(908) 675-6112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00205100
NJ
225XH1200X
Hand Occupational Therapist
Primary
46TR00205100
NJ
Other
Enumeration date
09/21/2006
Last updated
05/18/2018
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