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Individual

HEATHER MARIE WATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.D., OTR/L

Contact information

Practice address
6979 S HOLLY CIR STE 105, CENTENNIAL, CO 80112-1065
(303) 694-2295
(303) 694-1843
Mailing address
6979 S HOLLY CIR, STE 105, CENTENNIAL, CO 80112-1577
(303) 694-2295
(303) 694-1843

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1046488
225XP0200X
Pediatric Occupational Therapist
Primary
1266
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102255323
OWCP FACILITY ID
Enumeration date
08/13/2006
Last updated
07/21/2022
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