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NPI Code Detail

MEDICARE: MARY JO WATTS

MEDICARE: MARY JO WATTS
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
1225X00000XOccupational Therapist101210TX

General Provider Information

NPI Number : 1457832685
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY JO WATTS
Provider Business Mailing Address
First Line : 11902 RESOURCE PKWY
Second Line :
City : HOUSTON
State : TX
Zip : 77089-6086
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11902 RESOURCE PKWY
Second Line :
City : HOUSTON
State : TX
Zip : 77089-6086
Country : US
Telephone Number : 281-922-6802
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2018
Last Update Date : 08/26/2018

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Directions to “ MARY JO WATTS ” Practice Location

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