Provider Demographics
NPI:1437208048
Name:WESTPFAHL, LINDA (OTRL,CHT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:WESTPFAHL
Suffix:
Gender:F
Credentials:OTRL,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 215TH ST
Mailing Address - Street 2:
Mailing Address - City:JESUP
Mailing Address - State:IA
Mailing Address - Zip Code:50648-9328
Mailing Address - Country:US
Mailing Address - Phone:319-827-3372
Mailing Address - Fax:
Practice Address - Street 1:211 E RIDGEWAY AVE
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-5039
Practice Address - Country:US
Practice Address - Phone:319-272-2902
Practice Address - Fax:319-272-2923
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00735225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand