Individual
MRS. AMBER NICHOLE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
110 WEST NORTH STREET, GEORGETOWN, DE 19947
(302) 228-3247
Mailing address
110 WEST NORTH STREET, GEORGETOWN, DE 19947
(302) 228-3247
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-0001250
DE
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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