Provider Demographics
NPI:1699275461
Name:WATSON, DENISE B (COTA)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:B
Last Name:WATSON
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1918 EASTFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3438
Mailing Address - Country:US
Mailing Address - Phone:281-250-6821
Mailing Address - Fax:
Practice Address - Street 1:845 DAVIS
Practice Address - Street 2:
Practice Address - City:ARCOLA
Practice Address - State:TX
Practice Address - Zip Code:77583-2005
Practice Address - Country:US
Practice Address - Phone:713-865-1944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-18
Last Update Date:2018-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208602224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant