Provider Demographics
NPI:1689261034
Name:WESTERFIELD, OLA
Entity Type:Individual
Prefix:
First Name:OLA
Middle Name:
Last Name:WESTERFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-3627
Mailing Address - Country:US
Mailing Address - Phone:440-964-2826
Mailing Address - Fax:
Practice Address - Street 1:2158 MICHIGAN AVE APT A108
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-3119
Practice Address - Country:US
Practice Address - Phone:440-536-4527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health