Individual
GRACE WESTFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
(812) 886-4678
Mailing address
26431 YANKEE ST, EDWARDSBURG, MI 49112-8630
(269) 268-3609
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
32002015A
IN
224Z00000X
Occupational Therapy Assistant
Primary
5202007433
MI
Other
Enumeration date
09/19/2012
Last updated
07/06/2021
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