Individual
LATISHA WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 W 157TH ST, HARVEY, IL 60426-4151
(708) 845-9132
Mailing address
141 W 157TH ST, HARVEY, IL 60426-4151
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002779
IL
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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