Individual
KATHERINE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Contact information
Practice address
112 HERRON ST, FORT OGLETHORPE, GA 30742-3126
(706) 861-7471
Mailing address
112 HERRON ST, FORT OGLETHORPE, GA 30742-3126
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5958
OT LICENSE
TN
Enumeration date
08/10/2018
Last updated
08/21/2019
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