Individual
SAMANTHA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4280 COTSWOLDS HILL LN, FAIRFAX, VA 22030-4418
(541) 520-9713
Mailing address
4280 COTSWOLDS HILL LN, FAIRFAX, VA 22030-4418
(541) 520-9713
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
CP-0659955
VA
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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