Individual
MRS. JENNIFER B WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
228 FIRESIDE LN, MOUNT AIRY, NC 27030-7638
(336) 325-6551
Mailing address
228 FIRESIDE LN, MOUNT AIRY, NC 27030-7638
(336) 325-6551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4792
NC
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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