Provider Demographics
NPI:1992999072
Name:WATSON, LILIAN FREITAS (OT)
Entity type:Individual
Prefix:MRS
First Name:LILIAN
Middle Name:FREITAS
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 1:7414 TIMBER RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6118
Mailing Address - Country:US
Mailing Address - Phone:281-937-0360
Mailing Address - Fax:
Practice Address - Street 1:7414 TIMBER RIDGE TRL
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6118
Practice Address - Country:US
Practice Address - Phone:281-937-0360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109550174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist