Individual
MS. AMANDA JANE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
28511 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48334-2933
(800) 968-6644
Mailing address
17187 N LAUREL PARK DR, LIVONIA, MI 48152-3940
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009659
MI
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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