Provider Demographics
NPI:1003029414
Name:WESTREICH, FARAH MICHELLE (OTR)
Entity Type:Individual
Prefix:
First Name:FARAH
Middle Name:MICHELLE
Last Name:WESTREICH
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7348 PINEWALK DR S
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-8105
Mailing Address - Country:US
Mailing Address - Phone:954-253-3739
Mailing Address - Fax:
Practice Address - Street 1:8000 SPRING MOUNTAIN RD
Practice Address - Street 2:2116
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3908
Practice Address - Country:US
Practice Address - Phone:954-253-3739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0902225X00000X
FL9146225X00000X
WA225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist