Individual
ELLIE ELIZABETH HEFLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5516 FENWAY DR, CHARLOTTE, NC 28273-3976
(704) 785-0560
Mailing address
1405 MAINLINE BLVD APT 1204, CHARLOTTE, NC 28203-0509
(540) 222-4677
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15827
NC
Other
Enumeration date
04/18/2023
Last updated
05/05/2023
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