Provider Demographics
NPI:1932593605
Name:WATTS, JANET (OTR)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:WATTS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:KATHLEEN
Other - Last Name:HAWINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:3740 HASTINGS DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-1722
Mailing Address - Country:US
Mailing Address - Phone:804-514-4359
Mailing Address - Fax:
Practice Address - Street 1:7246 FOREST HILL AVE
Practice Address - Street 2:ENVOY STRATFORD HILLS
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-1524
Practice Address - Country:US
Practice Address - Phone:804-320-7901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119000009225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist