Healthcare Provider Details

I. General information

NPI: 1932433273
Provider Name (Legal Business Name): CYNTHIA JEAN WATSON D.P.T
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2009
Last Update Date: 09/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 LIMEKILN PIKE
DRESHER PA
19025-1114
US

IV. Provider business mailing address

1650 LIMEKILN PIKE
DRESHER PA
19025-1114
US

V. Phone/Fax

Practice location:
  • Phone: 215-619-4545
  • Fax: 215-619-4555
Mailing address:
  • Phone: 215-619-4545
  • Fax: 215-619-4555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number015431
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: