Individual
MISS HEATHER LORINE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TSC/COTA
Contact information
Practice address
1414 69TH AVE W FL 34207, BRADENTON, FL 34207-5850
(941) 306-4113
Mailing address
1414 69TH AVE W, BRADENTON, FL 34207-5850
(941) 306-4113
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1189
FL
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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