Individual
CORINA WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7440 JAMES RD SW, ROCHESTER, WA 98579-9356
(360) 273-5161
Mailing address
7440 JAMES RD SW, ROCHESTER, WA 98579-9356
(360) 273-5161
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
OT00003469
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT00003469
WA STATE BOARD OF HEALTH OT LICENSE NUMBER
WA
Enumeration date
10/25/2012
Last updated
10/25/2012
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