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NPI Code Detail

MEDICARE: REGINALD DEAN WESTMACOTT JR. OTR/L

MEDICARE:   REGINALD DEAN WESTMACOTT JR. OTR/L
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
1225X00000XOccupational TherapistOTH-009143AZ

General Provider Information

NPI Number : 1871304790
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINALD DEAN WESTMACOTT JR. OTR/L
Provider Business Mailing Address
First Line : 5991 E PLACITA DE LAS LUCES
Second Line :
City : TUCSON
State : AZ
Zip : 85750-1819
Country : US
Telephone Number : 303-242-6565
Fax Number :
Provider Business Practice Location Address
First Line : 5991 E PLACITA DE LAS LUCES
Second Line :
City : TUCSON
State : AZ
Zip : 85750-1819
Country : US
Telephone Number : 303-242-6565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2025
Last Update Date : 01/20/2025

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Directions to “ REGINALD DEAN WESTMACOTT JR. OTR/L” Practice Location

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