MRS. Sadra Rae West

NPI #1215247093 in Joliet, Illinois

Provider Information

NPI Number: 1215247093
Entity Type: Individual
Name: MRS. Sadra Rae West
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Oct 14, 2010
Last Updated: Oct 14, 2010

Practice Location

Address: 807 THORN CREEK DRIVE
City: Joliet
State: Illinois
ZIP Code: 60436
Phone: (815) 482-5902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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