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Individual

JONI CAROLE WATLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
301 N 9TH ST, RICHMOND, VA 23219-1933
(763) 607-2294
Mailing address
3104 1ST AVE, RICHMOND, VA 23222
(763) 607-2294

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007687
VA
225X00000X
Occupational Therapist
104558
MN
225XE0001X
Environmental Modification Occupational Therapist
225XH1300X
Human Factors Occupational Therapist
225XM0800X
Mental Health Occupational Therapist
225XN1300X
Neurorehabilitation Occupational Therapist
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
10/25/2018
Last updated
10/26/2018
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