KEISHA FORMANEK, COTA/L

Occupational Therapy Assistant

Active Individual
NPI: 1073322103

Practice Address

112 JEFFERSON ST
West Union, IA 52175

Phone: (563) 422-3811

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes 080424 (IA)

Frequently Asked Questions

NPI 1073322103 is the National Provider Identifier for KEISHA FORMANEK, COTA/L, a Occupational Therapy Assistant provider located in West Union, IA. This NPI was enumerated on January 3, 2025.
KEISHA FORMANEK, COTA/L practices at 112 JEFFERSON ST, West Union, IA 52175.

Quick Facts

NPI
1073322103
Type
Individual
Enumerated
Jan 3, 2025
Last Updated
Jan 3, 2025

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