Organization
ON THE MOVE PEDIATRIC THERAPY
Active
Organization
ON THE MOVE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE K WATSON PT (OWNER/PHYSICAL THERAPIST)
(859) 401-2941
Entity
Organization
Contact information
Practice address
1001 MONARCH ST, SUITE 110, LEXINGTON, KY 40513-1848
(859) 401-2941
(480) 323-2104
Mailing address
1001 MONARCH ST, SUITE 110, LEXINGTON, KY 40513-1848
(859) 401-2941
(480) 323-2104
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
004930
KY
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
Update your record
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