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NPI Code Detail

MEDICARE: MS. DJUNA CATHERINE WATT P.T.

MEDICARE:  MS. DJUNA CATHERINE WATT  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist19439CA

General Provider Information

NPI Number : 1194021840
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DJUNA CATHERINE WATT P.T.
Provider Business Mailing Address
First Line : 3419 VIA LIDO # 332
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92663-3908
Country : US
Telephone Number : 949-675-2639
Fax Number :
Provider Business Practice Location Address
First Line : 3441 VIA LIDO STE C
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92663-4788
Country : US
Telephone Number : 949-675-2639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2011
Last Update Date : 01/27/2011

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Directions to “ MS. DJUNA CATHERINE WATT P.T.” Practice Location

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