Individual
MS. CHARLOTTE ELA WATERSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
404 NE PENN AVE, BEND, OR 97701-4264
(541) 318-7041
(541) 388-3711
Mailing address
404 NE PENN AVE, BEND, OR 97701-4264
(541) 318-7041
(541) 388-3711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
389452
OR
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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