Individual
MARY WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2906 PLANTATION DR, BOSSIER CITY, LA 71111-5851
(318) 746-5295
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11798
LA
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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