Provider Demographics
NPI:1588890917
Name:WATSON, ALISHA JUNE (OTR/L)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:JUNE
Last Name:WATSON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 CENTURY PARK S
Mailing Address - Street 2:STE.128
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-3943
Mailing Address - Country:US
Mailing Address - Phone:205-823-1215
Mailing Address - Fax:205-822-4999
Practice Address - Street 1:700 CENTURY PARK S
Practice Address - Street 2:STE.128
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226-3943
Practice Address - Country:US
Practice Address - Phone:205-823-1215
Practice Address - Fax:205-822-4999
Is Sole Proprietor?:No
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1980225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics