NPI 1073322103

Keisha Formanek, COTAL

Practitioner Occupational Therapy Assistant West Union, IA

Practice location

Address: 112 Jefferson St, West Union, IA 52175-1022
Phone: (563) 422-3811

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 080424 (IA)

Other Occupational Therapy Assistant providers in Iowa →

Registry record

NPI: 1073322103
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2025
Record last updated: 3 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.