Individual
MIRANDA WATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
245 COUNTY ROAD 3804, WOLFE CITY, TX 75496-4413
(903) 227-7809
(855) 232-8604
Mailing address
245 COUNTY ROAD 3804, WOLFE CITY, TX 75496-4413
(903) 227-7809
(855) 232-8604
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214950
TX
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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