Angela J Watson, P.T.
Individual provider Active NPI Pediatric Physical Therapist · Hanover, IN
NPI 1780753178 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780753178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 05004647A (IN)
- Practice address
- 90 S Oakdale Dr
Hanover, IN 47243-9703 - Phone
- (812) 866-5434
- Fax
- (812) 866-5434
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05004647A | IN | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 05004647A | IN | Yes |
Addresses
Primary practice location
90 S Oakdale Dr
Hanover, IN 47243-9703
Mailing address
90 S Oakdale Dr
Hanover, IN 47243-9703
Phone (812) 866-5434
Other providers in Hanover, IN
- Alexander John Smith
- Kristen Smith
- Southwestern Jefferson County Consolidated School Corporation
- Laura Sparks
- David Spaulding
- Amanda Watts
All providers in Hanover, IN · Pediatric Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.