Individual
HEATHER LEE EKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
449 TEMPLE ST APT 59, FREDONIA, NY 14063-1033
(716) 785-0592
Mailing address
449 TEMPLE STREET APT #59, FREDONIA, NY 14063
(716) 785-0592
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006924-1
NY
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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