Individual
DEBORAH HEITZMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W DOMINICK ST, ROME, NY 13440-5846
(315) 337-6983
Mailing address
200 W DOMINICK ST, ROME, NY 13440-5846
(315) 337-6983
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004558-1
NY
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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