Individual
MR. MARION AUBREY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2071 N WEST ST, WICHITA, KS 67203-1358
(316) 942-5335
Mailing address
2071 N WEST ST, WICHITA, KS 67203-1358
(316) 942-5335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02567
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141281
BC/BS
KS
Enumeration date
02/13/2008
Last updated
04/22/2008
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