Individual
MAIJA K WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2681
Mailing address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2681
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
707-26
WI
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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