Individual
SUSAN IRENE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
407 BLACK HILLS AVE, ALLIANCE, NE 69301-3243
(308) 762-6564
(308) 762-3747
Mailing address
407 BLACK HILLS AVE, ALLIANCE, NE 69301-3243
(308) 762-6564
(308) 762-3747
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
689
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025312800
—
NE
01
—
69854
BCBS OF NE
NE
Enumeration date
06/11/2006
Last updated
02/26/2010
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