NPI 1396066007
Tamara Renee Watson
Practice location
- Address
- 1373 Diadrian Professional Park, Godfrey, IL 62002
- Phone
- (618) 468-8010
- Mailing address
- 2409 Suddes CT, Alton, IL 62002-5742
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1396066007
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Jun 2010
- Record last updated
- 16 Jun 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.