Provider Demographics
NPI:1073635009
Name:WEST, BELINDA KAY (OTR)
Entity type:Individual
Prefix:MS
First Name:BELINDA
Middle Name:KAY
Last Name:WEST
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:BELINDA
Other - Middle Name:
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:347 AVENUE G
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-3520
Mailing Address - Country:US
Mailing Address - Phone:214-316-2490
Mailing Address - Fax:
Practice Address - Street 1:347 AVENUE G
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-3520
Practice Address - Country:US
Practice Address - Phone:214-316-2490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101222225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics