Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 120017 | TX |
NPI | 1194383125 |
---|---|
Provider Name | Britni Hope West |
First Address | Weatherford, TX 76087-8299 |
Second Address | Weatherford, TX 76086-1536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2019 |
Last Update Date | 04/06/2019 |