Watson, Jessica Shannon
Watson, Jessica Shannon is an sole proprietor health care provider with primary practice located at 404 Nw Hall Of Fame Dr , Lake City FL 32055-4833. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Watson, Jessica Shannon can be contacted via phone (386) 755-3163.Contact Information
Primary practice address
404 Nw Hall Of Fame Dr
Lake City FL 32055-4833
Phone: (386) 755-3163
Fax: (386) 755-3165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA22089 | Florida |
Profile Details
| NPI number | 1508113754 |
|---|---|
| LBN Legal business name | Watson, Jessica Shannon |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2012 |
| Last updated | Aug 7th, 2012 - about 12 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.
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