MRS. Emilie Ann Watson, PTA

NPI #1669765582 in Lake Mary, Florida

Provider Information

NPI Number: 1669765582
Entity Type: Individual
Name: MRS. Emilie Ann Watson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PTA
Enumeration Date: May 25, 2011
Last Updated: May 25, 2011

Practice Location

Address: 3577 LAKE EMMA RD
Address 2: ST 109
City: Lake Mary
State: Florida
ZIP Code: 32746-2056
Phone: (407) 936-0314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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