| Ellen Westerdaal, | |
|
331 E Park St, Weiser, ID 83672-2053 | |
| (208) 549-2416 | |
| Not Available |
| Full Name | Ellen Westerdaal |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 331 E Park St, Weiser, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801058144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT-146 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Westerdaal, 331 E Park St, Weiser, ID 83672-2053 Ph: (208) 549-2416 | Ellen Westerdaal, 331 E Park St, Weiser, ID 83672-2053 Ph: (208) 549-2416 |
Caren Shinayo Imada, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 E Park St, Weiser, ID 83672 Phone: 208-549-0206 | |
Mrs. Carmal Suzanne Chrisman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 E Park St, Weiser, ID 83672 Phone: 208-549-0206 |