Individual
LEE NICOLE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L, ASST. ADMIN
Contact information
Practice address
6354 US ROUTE 60 E STE 4, BARBOURSVILLE, WV 25504-1247
(304) 733-1626
Mailing address
6354 US ROUTE 60 E STE 4, BARBOURSVILLE, WV 25504-1247
(304) 733-1626
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
278687
KY
224Z00000X
Occupational Therapy Assistant
Primary
C1873
WV
224Z00000X
Occupational Therapy Assistant
OTA004974
OH
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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