Provider Demographics
NPI:1023360278
Name:WESTFALL, JOYCE ANTOINETTE (OTR/L, CHT)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:ANTOINETTE
Last Name:WESTFALL
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 W LAKE ST
Mailing Address - Street 2:OUTPATIENT OCCUPATIONAL THERAPY
Mailing Address - City:MELROSE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60160-4039
Mailing Address - Country:US
Mailing Address - Phone:708-938-7756
Mailing Address - Fax:708-938-7955
Practice Address - Street 1:1111 SUPERIOR ST
Practice Address - Street 2:LL, OUTPATIENT OCCUPATIONAL THERAPY
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-4138
Practice Address - Country:US
Practice Address - Phone:708-938-7756
Practice Address - Fax:708-938-7955
Is Sole Proprietor?:No
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.002664225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand