Provider Demographics
NPI:1003880287
Name:WATTS-SILVA, LINDA MARIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MARIE
Last Name:WATTS-SILVA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6508 QUAIL STREET
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-2303
Mailing Address - Country:US
Mailing Address - Phone:805-654-8614
Mailing Address - Fax:
Practice Address - Street 1:1100 N VENTURA RD
Practice Address - Street 2:SUITE NUMBER 103
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-3841
Practice Address - Country:US
Practice Address - Phone:805-983-0811
Practice Address - Fax:805-983-1481
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 254662251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWPT25466CMedicare ID - Type UnspecifiedPROVIDER NUMBER