Provider Demographics
NPI:1396189965
Name:WEST, PATRICIA (MA, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11613 DOWNEY AVE APT 206
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-4946
Mailing Address - Country:US
Mailing Address - Phone:562-712-4956
Mailing Address - Fax:
Practice Address - Street 1:11613 DOWNEY AVE APT 206
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4946
Practice Address - Country:US
Practice Address - Phone:562-712-4956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACBOT 6949251E00000X
NY010562-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health