Individual
ANGELA M WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
345 HEALTHWEST DR, DOTHAN, AL 36303-2053
(334) 836-4523
(334) 673-0599
Mailing address
251 JOHNSTON ST SE, SUITE 300, DECATUR, AL 35601-2516
(256) 340-9706
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0225
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121682
—
AL
01
—
511-09122
BCBS OF ALABAMA
AL
Enumeration date
02/06/2006
Last updated
09/13/2017
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