Individual
JENNIFER WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 VIENNA RD, CHARLESTOWN, IN 47111-8410
(502) 303-6684
Mailing address
2920 VIENNA RD, CHARLESTOWN, IN 47111-8410
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18084
CA
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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