Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | TN 2129 | TN |
NPI | 1780863431 |
---|---|
Provider Name | Lauren Douglass Watson |
First Address | Franklin, TN 37069-7095 |
Second Address | Franklin, TN 37069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2007 |
Last Update Date | 20/08/2010 |