Individual
ALEXANDRA MARIE HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
100 MARIAN PKWY, SHERMAN, IL 62684-9673
(217) 744-2299
Mailing address
407 OAK HILL RD, ROCHESTER, IL 62563-9232
(217) 836-1249
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005616
IL
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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