Individual
CHARLOTTE HEANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3 BROOKSIDE LN, CHENANGO FORKS, NY 13746-1721
(607) 765-8392
Mailing address
3 BROOKSIDE LN, CHENANGO FORKS, NY 13746-1721
(607) 765-8392
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006874-1
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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