Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT00001852 | WA |
Y | 225XF0002X | Feeding, Eating & Swallowing | OT00001852 | WA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OT00001852 |
NPI | 1336542950 |
---|---|
Provider Name | Renee L Watling |
First Address | Kent, WA 98030-7108 |
Second Address | Kent, WA 98030-7108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2014 |
Last Update Date | 28/09/2014 |