Healthcare Provider Details

I. General information

NPI: 1811455751
Provider Name (Legal Business Name): AMBER LYNN WEST OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2019
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N ERIE HWY STE A
HAMILTON OH
45011-4264
US

IV. Provider business mailing address

5253 RAHWAY CT
DAYTON OH
45415-1133
US

V. Phone/Fax

Practice location:
  • Phone: 513-887-3710
  • Fax:
Mailing address:
  • Phone: 419-708-9170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: