Individual
HEATHER LAVENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 S MERRITT MILL RD, CHAPEL HILL, NC 27516-2878
(919) 967-8211
Mailing address
421 E 80TH ST, NEW YORK, NY 10075-0626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012846
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012846
NY STATE EDUCATION DEPARTMENT
NY
Enumeration date
12/22/2008
Last updated
04/13/2026
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