Individual
MR. DALE W WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1200 LEXINGTON GREEN LN, SANFORD, FL 32771-1013
(407) 688-0070
(407) 688-0071
Mailing address
1200 LEXINGTON GREEN LN, SANFORD, FL 32771-1013
(407) 688-0070
(407) 688-0071
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA67240
FL
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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