Individual
BRADY D HEISTAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
109 KETTERING CT, PICKERINGTON, OH 43147-2100
(614) 570-0863
Mailing address
7171 KECK PARK CIR NW, NORTH CANTON, OH 44720-6301
(330) 498-8200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007018
OH
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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