Provider Demographics
NPI:1366796229
Name:WESTBROOKE, SANDY ANGELIKA (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:SANDY
Middle Name:ANGELIKA
Last Name:WESTBROOKE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:516 176TH ST E
Mailing Address - Street 2:BETHEL SCHOOL DISTRICT
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-8335
Mailing Address - Country:US
Mailing Address - Phone:253-683-6000
Mailing Address - Fax:253-683-6993
Practice Address - Street 1:516 176TH ST E
Practice Address - Street 2:BETHEL SCHOOL DISTRICT
Practice Address - City:SPANAWAY
Practice Address - State:WA
Practice Address - Zip Code:98387-8335
Practice Address - Country:US
Practice Address - Phone:253-683-6000
Practice Address - Fax:253-683-6993
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT 00002152225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics