Individual
JANICE J WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
102 HARRISON AVE, AMITYVILLE, NY 11701-2404
(347) 724-7152
Mailing address
102 HARRISON AVE, AMITYVILLE, NY 11701-2404
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008493-1
NY
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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