Individual
BRANDI HEASTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
400 BELCHASE DR, MATAWAN, NJ 07747-9758
(732) 851-6947
Mailing address
404 KETTLE CREEK RD APT 5, TOMS RIVER, NJ 08753-1974
(732) 569-4743
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01187100
NJ
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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