Individual
MRS. JESSICA HEITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT,OTR/L
Contact information
Practice address
1129 FIELDSTONE CIR NE, BOLIVAR, OH 44612-8666
(419) 618-4021
Mailing address
1129 FIELDSTONE CIR NE, BOLIVAR, OH 44612-8666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.007310
OH
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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