Individual
MRS. JEAN ANN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1504 13TH AVE, MOLINE, IL 61265-3113
(309) 762-9552
(309) 762-9610
Mailing address
1504-13TH AVE, MOLINE, IL 61265
(309) 762-9552
(309) 762-9610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-006929
IL
Other
Enumeration date
11/01/2006
Last updated
12/19/2009
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