Provider Demographics
NPI:1619458494
Name:PYLES-REITEN, CHARLOTTE (OTR/L)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:PYLES-REITEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:
Other - Last Name:REITEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1351 FOWLER ST
Mailing Address - Street 2:STE 110
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4714
Mailing Address - Country:US
Mailing Address - Phone:509-942-2660
Mailing Address - Fax:509-942-2836
Practice Address - Street 1:1268 LEE BLVD
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4231
Practice Address - Country:US
Practice Address - Phone:509-942-2660
Practice Address - Fax:509-942-2836
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60880195225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand