Victoria Watts, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · West Union, IA

NPI 1124519699 · NPPES record last updated May 21, 2018

Key facts

NPI
1124519699
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
00743 (IA)
Practice address
112 Jefferson St
West Union, IA 52175-1022
Phone
(563) 422-3811
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
00743IAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 00743 IA Yes

Addresses

Primary practice location

112 Jefferson St
West Union, IA 52175-1022

Mailing address

PO Box 285
Readlyn, IA 50668-0285
Phone (319) 415-3786

Other providers in West Union, IA

All providers in West Union, IA · Occupational Therapy Assistant in Iowa

Sources for this page

Verify at the official NPI Registry.