Provider Demographics
NPI:1689290892
Name:WESTLEY, KATHRYN ANN (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ANN
Last Name:WESTLEY
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 DURWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WEST LAWN
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1018
Mailing Address - Country:US
Mailing Address - Phone:484-334-5884
Mailing Address - Fax:
Practice Address - Street 1:1400 DURWOOD DR
Practice Address - Street 2:
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-1018
Practice Address - Country:US
Practice Address - Phone:484-334-5884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-23
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19739225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19739OtherFLORIDA OT LICENSE