Individual
SHANE P WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR, PTA
Contact information
Practice address
1234 FRYE ST, ATHENS, TN 37303-3052
(423) 745-8181
Mailing address
207 S HIGH ST APT A, SWEETWATER, TN 37874-2434
(423) 519-5381
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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