Individual
ABIGAIL R WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
612 N WASHINGTON ST, COLUMBIA CITY, IN 46725
(419) 890-3930
Mailing address
612 N WASHINGTON ST, COLUMBIA CITY, IN 46725-1725
(419) 890-3930
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001869A
IN
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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