DEITRA WATSON
Prosthetist
Active
Individual
NPI: 1437345402
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | No | 011245235 (IL) |
| Prosthetist | 224P00000X | Yes | 011245235 (IL) |
Frequently Asked Questions
NPI 1437345402 is the National Provider Identifier for DEITRA WATSON, a Prosthetist provider located in Fargo, ND. This NPI was enumerated on September 24, 2007.
DEITRA WATSON practices at 1011 18TH ST N, 2B, Fargo, ND 58102.
Quick Facts
- NPI
- 1437345402
- Type
- Individual
- Enumerated
- Sep 24, 2007
- Last Updated
- Dec 20, 2007
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