Organization
KATHRYN A. HEISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN ANN HEISE COTA (OCCUPATIONAL THERAPIST ASSIT.)
(352) 694-1178
Entity
Organization
Contact information
Practice address
1855 SE 51ST TER, OCALA, FL 34480-5763
(352) 694-1178
Mailing address
1855 SE 51ST TER, OCALA, FL 34480-5763
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
OTA224Z00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA8879
OTA8879
FL
Enumeration date
11/22/2012
Last updated
11/22/2012
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