Individual
ELIZABETH ROSE WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3401 LEMON ST, RIVERSIDE, CA 92501-2861
(951) 686-8202
Mailing address
3437 SUNNYSIDE DR, RIVERSIDE, CA 92506-2124
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13566
CA
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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