Watson, Carol Marie
Watson, Carol Marie is an sole proprietor health care provider with primary practice located at 3 Cypress Pt Pkwy Ste 108C , Palm Coast FL 32164-8408. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant is her primary health care specialty. Watson, Carol Marie can be contacted via phone (386) 366-3890.Contact Information
Primary practice address
3 Cypress Pt Pkwy Ste 108C
Palm Coast FL 32164-8408
Phone: (386) 366-3890
Fax: (386) 366-3890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | OTA8911 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | OTA8911 | Florida |
Profile Details
| NPI number | 1497048094 |
|---|---|
| LBN Legal business name | Watson, Carol Marie |
| Credentials | COTA/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2011 |
| Last updated | Nov 20th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497048094 | NPPES |
| Florida | MEDICAID | 1497048094 |
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