IndividualActive
Amanda Watne, COTA
NPI 1366083404 · Occupational Therapy Assistant · Fargo, ND
Provider details
- NPI number
- 1366083404
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1161 (ND)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
415 4th St. N. Fargo Public Schools
Fargo, ND 58102
Phone: (701) 446-1014
Fax: (701) 446-1200
Approximate (ZIP-level) locationGet directions
Mailing address
415 4th St. N. Fargo Public Schools
Fargo, ND 58102
Registry dates
- Enumerated
- 2019-09-30
- Last updated
- 2019-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.