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Individual

MS. CHRISTINE MARIE WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
8380 VIRGINIA ST, MERRILLVILLE, IN 46410-6231
(219) 769-9009
Mailing address
151 SPRINGWOOD DR, HEBRON, IN 46341-7214
(219) 545-7087

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001877A
IN

Other

Enumeration date
09/10/2010
Last updated
09/10/2010
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