Individual
ROBERT J. WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
1351 FOWLER ST STE 110, RICHLAND, WA 99352-4714
(509) 942-2574
(509) 942-2575
Mailing address
1803 W BLODGETT ST, CARLSBAD, NM 88220-3914
(575) 302-6648
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2659
NM
225X00000X
Occupational Therapist
Primary
OT60772514
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084432
—
WA
Enumeration date
12/10/2009
Last updated
05/18/2023
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