Individual
MRS. HEATHER RENEE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
150 A AND W LN, TIOGA, PA 16946-8415
(607) 426-4983
Mailing address
150 A AND W LN, TIOGA, PA 16946-8415
(570) 835-4079
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008512-1
NY
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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