IndividualActive
Cicely Watson
NPI 1255894366 · Pediatric Physical Therapist · Duluth, GA
Provider details
- NPI number
- 1255894366
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PT007774 (GA)
Practice location
2620 Satellite Blvd Ste 100
Duluth, GA 30096-1291
Phone: (404) 785-8619
Mailing address
3508 Castlehill Ct
Tucker, GA 30084-3201
Registry dates
- Enumerated
- 2019-04-08
- Last updated
- 2019-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.