Individual
DAPHNE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 W MOODY ST, POPLARVILLE, MS 39470-7338
(601) 240-3527
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2401
MS
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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