Individual
CARISSA LEANNE HEESTAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTRL
Contact information
Practice address
44225 W 12 MILE RD STE C-106, NOVI, MI 48377-2640
(248) 277-3005
Mailing address
20133 NORTHVILLE PLACE DR APT 3203, NORTHVILLE, MI 48167-2964
(734) 233-4686
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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