MEDICARE: ROBERT E WEST O.T.R.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	110043	TX

General Provider Information

NPI Number	:	1669497673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT E WEST O.T.R.

Provider Business Mailing Address
First Line	:	8005 TWIN OAKS DR
Second Line	:
City	:	MC KINNEY
State	:	TX
Zip	:	75070-8535
Country	:	US
Telephone Number	:	214-504-9267
Fax Number	:

Provider Business Practice Location Address
First Line	:	10300 N CENTRAL EXPY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-8600
Country	:	US
Telephone Number	:	214-370-0404
Fax Number	:	214-370-9880

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	07/08/2007

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Directions to “ ROBERT E WEST O.T.R.” Practice Location

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