Individual
MRS. KATELYN ANN HEINEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
127 ATHERWOOD AVE, REDWOOD CITY, CA 94061-3612
(253) 359-0683
Mailing address
127 ATHERWOOD AVE, REDWOOD CITY, CA 94061-3612
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15195
CA
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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