Doctor Name: | MRS. AMY WATSON WILLIS |
NPI Number: | 1205100336 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS-ITFS |
License Number: | |
Business Practice Address: | 111 S Railroad Ave Dunn, NC - 283344853 |
Business Phone Number: | 9108920027 |
Business Fax Number: | 9108920029 |
Mailing Address: | 111 S Railroad Ave, DUNN |
State: | NC |
Postal Code: | 283344853 |
Phone Number: | 9108920027 |
Fax Number: | 9108920029 |
NPI Enumeration Date: | 03/07/2012 |
NPI Last Update Date: | 03/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |