Provider Demographics
NPI:1932408226
Name:WEST, CAMERON MORRISON (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:MORRISON
Last Name:WEST
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CAMERON
Other - Middle Name:
Other - Last Name:PATCHETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:405 OERMEAD LANE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380
Mailing Address - Country:US
Mailing Address - Phone:732-673-3751
Mailing Address - Fax:
Practice Address - Street 1:461 CANN RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382
Practice Address - Country:US
Practice Address - Phone:610-692-6362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2021-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0211582251P0200X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics