Individual
ANDREA ROSE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3615 BRASELTON HWY, SUITE 101, DACULA, GA 30019-5906
(770) 904-0772
(770) 904-0774
Mailing address
3615 BRASELTON HWY, SUITE 101, DACULA, GA 30019-5906
(770) 904-0772
(770) 904-0774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017425
GA
225200000X
Physical Therapy Assistant
Primary
002825
GA
Other
Enumeration date
08/07/2011
Last updated
01/15/2026
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