Provider Demographics
NPI:1346600509
Name:WATT, MARTHA M (OTR/L, CHT)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:M
Last Name:WATT
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:MARTHA
Other - Middle Name:M
Other - Last Name:WILLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:1111 GRINNELL ST APT A
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-3205
Mailing Address - Country:US
Mailing Address - Phone:321-704-9166
Mailing Address - Fax:
Practice Address - Street 1:3156 NORTHSIDE DR
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-8024
Practice Address - Country:US
Practice Address - Phone:305-292-1805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-02
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225XH1200X
COOT.0005088225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand