MEDICARE: FARAH MICHELLE WESTREICH OTR

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	0902	NV
2	225X00000X	Occupational Therapist	9146	FL
3	225X00000X	Occupational Therapist		WA

General Provider Information

NPI Number	:	1003029414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARAH MICHELLE WESTREICH OTR

Provider Business Mailing Address
First Line	:	7348 PINEWALK DR S
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-8105
Country	:	US
Telephone Number	:	954-253-3739
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 SPRING MOUNTAIN RD
Second Line	:	2116
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3908
Country	:	US
Telephone Number	:	954-253-3739
Fax Number	:

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

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	07/08/2007

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