NPI 1437345402

Deitra Ann Watson

Practitioner Prosthetist Fargo, ND

Practice location

Address: 1011 18th St N 2b, Fargo, ND 58102-3238
Phone: (701) 212-9200

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 011245235 (IL)

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Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 011245235 (IL)

Other Massage Therapist providers in North Dakota →

Registry record

NPI: 1437345402
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2007
Record last updated: 20 Dec 2007

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.