Individual
PAYTON A WOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4575 23RD AVE S STE 400, FARGO, ND 58104-8783
(701) 347-1782
(701) 404-8274
Mailing address
1502 BELSLY BLVD APT 210, MOORHEAD, MN 56560-5197
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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