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NPI Code Detail

MEDICARE: JANE A. WATTS O.T.R./L

MEDICARE: JANE A. WATTS O.T.R./L
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 TherapistOTR1787AR

General Provider Information

NPI Number : 1700851110
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE A. WATTS O.T.R./L
Provider Business Mailing Address
First Line : 22 SOUTHPARK SHOPPING CTR
Second Line :
City : NASHVILLE
State : AR
Zip : 71852-3307
Country : US
Telephone Number : 870-845-5600
Fax Number : 870-845-5605
Provider Business Practice Location Address
First Line : 22 SOUTHPARK SHOPPING CTR
Second Line :
City : NASHVILLE
State : AR
Zip : 71852-3307
Country : US
Telephone Number : 870-845-5600
Fax Number : 870-845-5605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2006
Last Update Date : 07/08/2007

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