Individual
AMANDA WATNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
415 4TH ST. N. FARGO PUBLIC SCHOOLS, FARGO, ND 58102
(701) 446-1014
(701) 446-1200
Mailing address
415 4TH ST. N. FARGO PUBLIC SCHOOLS, FARGO, ND 58102
(701) 446-1014
(701) 446-1200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1161
ND
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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