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NPI Code Detail

MEDICARE: MISS SHANTELLE MARIE WESTBROOK

MEDICARE: MISS SHANTELLE MARIE WESTBROOK
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
1225800000XRecreation Therapist

General Provider Information

NPI Number : 1528198843
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SHANTELLE MARIE WESTBROOK
Provider Business Mailing Address
First Line : 2933 EL NIDO DR
Second Line :
City : ALTADENA
State : CA
Zip : 91001-4529
Country : US
Telephone Number : 626-395-7100
Fax Number : 626-798-4531
Provider Business Practice Location Address
First Line : 2933 EL NIDO DR
Second Line :
City : ALTADENA
State : CA
Zip : 91001-4529
Country : US
Telephone Number : 626-395-7100
Fax Number : 626-798-4531
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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Directions to “ MISS SHANTELLE MARIE WESTBROOK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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