Individual
KELLY WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 S YELLOWSTONE DR, MADISON, WI 53719-1042
(608) 277-1010
Mailing address
6317 HARTFORD DR, MADISON, WI 53719-4801
(920) 229-4768
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
367678
WI
Other
Enumeration date
01/01/2021
Last updated
01/01/2021
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