Individual
MR. FREDERICK LAMONTE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
19100 W 7 MILE RD, DETROIT, MI 48219-2758
(313) 533-5002
Mailing address
8627 GRANDMONT AVE, DETROIT, MI 48228-2081
(313) 729-3733
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202002647
MI
Other
Enumeration date
01/09/2022
Last updated
01/09/2022
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