Individual
MIRIAM DEBORAH WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4198 HOBBY HORSE LN, SKIATOOK, OK 74070-9361
(918) 724-4788
(888) 284-2781
Mailing address
4198 HOBBY HORSE LN, SKIATOOK, OK 74070-9361
(918) 724-4788
(918) 396-7929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT1447
OK
Other
Enumeration date
04/23/2007
Last updated
03/11/2021
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