Individual
LAURA MARIE HEINEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2720 W EULESS BLVD, EULESS, TX 76040-6616
(817) 562-0801
Mailing address
1003 MAZOURKA DR, ARLINGTON, TX 76001-6119
(682) 622-6869
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217667
TX
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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