Individual
MRS. SUSAN JOSEPHINE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
23775 KINGWOOD PLACE DR, KINGWOOD, TX 77339-3817
(936) 718-9746
Mailing address
2766 FOLIAGE GREEN DR, KINGWOOD, TX 77339-1009
(936) 718-9746
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214196
TX
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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