Individual
MARISSA EILEEN HEAVILIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6325 COCHRAN RD STE 2, SOLON, OH 44139-3930
(440) 498-1100
Mailing address
4418 FORESTWOOD DR, PARMA, OH 44134-2816
(330) 815-0163
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA008384
OH
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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