Provider Demographics
NPI:1841901709
Name:WATSON, EMMA MARIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:MARIE
Last Name:WATSON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68117-1760
Mailing Address - Country:US
Mailing Address - Phone:402-957-8586
Mailing Address - Fax:
Practice Address - Street 1:1131 PAPILLION PKWY
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-1620
Practice Address - Country:US
Practice Address - Phone:402-934-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty