Individual
JAMIE DALE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
499 ALT KEENE RD, LARGO, FL 33771-1652
(727) 586-4211
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(901) 334-6248
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15720
FL
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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