Individual
MRS. SHANNON MARIE HEITMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1260 N 17TH ST, LAFAYETTE, IN 47904-2163
(765) 423-6885
(765) 423-6099
Mailing address
1260 N 17TH ST, LAFAYETTE, IN 47904-2163
(765) 423-6885
(765) 423-6099
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
30012351A
IN
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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