Provider Demographics
NPI:1548930910
Name:WATKINS-ORTIZ, MARION (RRT)
Entity type:Individual
Prefix:
First Name:MARION
Middle Name:
Last Name:WATKINS-ORTIZ
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:MARION
Other - Middle Name:
Other - Last Name:WATKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:93 LAWNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:VT
Mailing Address - Zip Code:05468-3278
Mailing Address - Country:US
Mailing Address - Phone:802-338-8361
Mailing Address - Fax:
Practice Address - Street 1:93 LAWNWOOD DR
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:VT
Practice Address - Zip Code:05468-3278
Practice Address - Country:US
Practice Address - Phone:802-338-8361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010275-01227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered