Individual
HEATHER MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
(903) 408-5000
Mailing address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113081
TX
Other
Enumeration date
10/22/2021
Last updated
10/29/2021
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