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Contact Information

JESSICA WATSON
4110 N 108TH AVE
SUITE 103
PHOENIX, AZ85031
 Phone: 623-877-9915
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for JESSICA WATSON · (Female)

NPI # 1508256629
Status Active
Credentials
Entity Individual
Enumeration date 01/27/2015
Last updated 10/19/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 11335A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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