IndividualActive
Payton Wothe, COTA
NPI 1093659484 · Occupational Therapy Assistant · Fargo, ND
Provider details
- NPI number
- 1093659484
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
Practice location
4575 23rd Ave S Ste 400
Fargo, ND 58104-8783
Phone: (701) 347-1782
Fax: (701) 404-8274
Mailing address
1502 Belsly Blvd Apt 210
Moorhead, MN 56560-5197
Registry dates
- Enumerated
- 2026-04-16
- Last updated
- 2026-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.