Provider Demographics
NPI:1962575498
Name:WATSON, NANCY B (OT)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:B
Last Name:WATSON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8620 SW 185TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-7242
Mailing Address - Country:US
Mailing Address - Phone:305-253-8900
Mailing Address - Fax:305-279-8158
Practice Address - Street 1:9380 SW 72ND ST
Practice Address - Street 2:B222
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3276
Practice Address - Country:US
Practice Address - Phone:305-279-8157
Practice Address - Fax:305-279-8158
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT2205225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist