Individual
HEIDI LYNN ROYNESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
76 HEMLOCK ST, FALL RIVER, MA 02720-6108
(508) 496-8700
Mailing address
76 HEMLOCK ST, FALL RIVER, MA 02720-6108
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1863
MA
224Z00000X
Occupational Therapy Assistant
OTA00018
RI
Other
Enumeration date
06/18/2007
Last updated
12/07/2009
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