Provider Demographics
NPI:1174651012
Name:WESTFALL, VERED BLUMA I (PTA)
Entity Type:Individual
Prefix:MRS
First Name:VERED
Middle Name:BLUMA
Last Name:WESTFALL
Suffix:I
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 E PLATE DR
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-7260
Mailing Address - Country:US
Mailing Address - Phone:847-496-4089
Mailing Address - Fax:
Practice Address - Street 1:1245 E PLATE DR
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-7260
Practice Address - Country:US
Practice Address - Phone:847-496-4089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant