Individual
MRS. COURTNEY LYNN WATTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1883 SHUMWAY HILL RD, WELLSBORO, PA 16901-6840
(570) 724-3913
Mailing address
1883 SHUMWAY HILL RD, WELLSBORO, PA 16901-6840
(570) 724-3913
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OC016611
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC016611
COMMNWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCUP
PA
Enumeration date
08/19/2020
Last updated
06/07/2022
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