MRS. Michelle Lynne Watson, MS PT OCS ATC

NPI #1689784613 in Brentwood, Missouri

Provider Information

NPI Number: 1689784613
Entity Type: Individual
Name: MRS. Michelle Lynne Watson, MS PT OCS ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MS PT OCS ATC
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2937 SOUTH BRENTWOOD BLVD
City: Brentwood
State: Missouri
ZIP Code: 63144
Phone: (314) 961-3804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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