Provider Demographics
NPI:1972239184
Name:WESTFALL, ALICIA NICOLE (OTD, OTR/L, CBIS)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:NICOLE
Last Name:WESTFALL
Suffix:
Gender:F
Credentials:OTD, OTR/L, CBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 TROY SIDNEY RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-9701
Mailing Address - Country:US
Mailing Address - Phone:937-573-9637
Mailing Address - Fax:
Practice Address - Street 1:5950 LONGFORD RD
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-2943
Practice Address - Country:US
Practice Address - Phone:937-237-6345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT009842225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist