Individual
MICHELLE WATILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
401 W POPLAR ST, WALLA WALLA, WA 99362-2846
(509) 897-2768
Mailing address
401 W POPLAR ST, P.O. BOX 1477, WALLA WALLA, WA 99362-2846
(509) 897-2768
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002720
WA
Other
Enumeration date
01/12/2017
Last updated
01/07/2026
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