Wattles, Courtney Lynn
Wattles, Courtney Lynn is an individual health care provider with primary practice located at 1883 Shumway Hill Rd , Wellsboro PA 16901-6840. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, which is considered as her primary health care specialty. Wattles, Courtney Lynn can be contacted via phone (570) 724-3913.Contact Information
Primary practice address
1883 Shumway Hill Rd
Wellsboro PA 16901-6840
Phone: (570) 724-3913
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology | 225XG0600X | OC016611 | Pennsylvania |
Profile Details
| NPI number | 1417569799 |
|---|---|
| LBN Legal business name | Wattles, Courtney Lynn |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2020 |
| Last updated | Jun 7th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417569799 | NPPES |
| Pennsylvania | Other | OC016611 | COMMNWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCUP |
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