Individual
SUSAN J WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
700 WEST AVENUE SOUTH, LACROSSE, WI 56401
(608) 791-9768
(608) 791-7124
Mailing address
700 WEST AVE S, PHYSICIAN SERVICES, LA CROSSE, WI 54601-4783
(608) 791-4156
(608) 791-9898
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1789
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40753900
—
WI
Enumeration date
09/20/2006
Last updated
07/08/2007
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