Individual
MICHELLE LEE HEITMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L 02954
Contact information
Practice address
19369 ROAD 20P, FORT JENNINGS, OH 45844-8975
(419) 230-6333
Mailing address
19369 ROAD 20P, FORT JENNINGS, OH 45844-8975
(419) 230-6333
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
02954
OH
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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