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NPI Code Detail

MEDICARE: MRS. WENDY CROWE WATSON OTR

MEDICARE: MRS. WENDY CROWE WATSON OTR
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
1225XG0600XGerontology Occupational Therapist072.0000089VT

General Provider Information

NPI Number : 1225374184
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WENDY CROWE WATSON OTR
Provider Business Mailing Address
First Line : 513 TOWNE HILL RD
Second Line :
City : MONTPELIER
State : VT
Zip : 05602-8699
Country : US
Telephone Number : 802-223-7971
Fax Number :
Provider Business Practice Location Address
First Line : 98 HOSPITALITY DR
Second Line :
City : BARRE
State : VT
Zip : 05641-5360
Country : US
Telephone Number : 802-220-0308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2012
Last Update Date : 12/21/2012

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