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NPI Code Detail

MEDICARE: PATRICE N WATTS DPT

MEDICARE: PATRICE N WATTS DPT
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 Therapist029782NY
2225100000XPhysical Therapist1178778TX

General Provider Information

NPI Number : 1891971990
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICE N WATTS DPT
Provider Business Mailing Address
First Line : 3703 STILLVIEW DR
Second Line :
City : HOUSTON
State : TX
Zip : 77068-2934
Country : US
Telephone Number : 843-631-4534
Fax Number :
Provider Business Practice Location Address
First Line : 1485 INTERNATIONAL PKWY
Second Line : 2051
City : LAKE MARY
State : FL
Zip : 32746-5303
Country : US
Telephone Number : 800-798-6035
Fax Number : 888-798-6035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2008
Last Update Date : 07/28/2025

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Directions to “ PATRICE N WATTS DPT” Practice Location

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