Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 0119007687 | VA |
N | 225X00000X | Occupational Therapist | 104558 | MN |
N | 225XE0001X | Environmental Modification | ||
N | 2251H1300X | Human Factors | ||
N | 225XH1300X | Human Factors | ||
N | 225XM0800X | Mental Health | ||
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | ||
N | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1811464050 |
---|---|
Provider Name | Joni Carole Watling |
First Address | Richmond, VA 23222 |
Second Address | Richmond, VA 23219-1933 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2018 |
Last Update Date | 26/10/2018 |