Doctor Name: | RICK WATSON |
NPI Number: | 1013303445 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT7886 |
Business Practice Address: | 156 Harvey Rd Londonderry, NH - 030537449 |
Business Phone Number: | 8006576517 |
Business Fax Number: | |
Mailing Address: | 3145 Harding Ave, EAST LIVERPOOL |
State: | OH |
Postal Code: | 439204219 |
Phone Number: | 3309320467 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2015 |
NPI Last Update Date: | 04/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT7886 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |