Individual
DANIEL WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(302) 831-7228
Mailing address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(302) 831-7228
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000233
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079502525
NATABOC
DE
Enumeration date
04/10/2014
Last updated
04/10/2014
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