Individual
CORINNE HEFFERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-7500
Mailing address
650 HUEBNER RD, FT RILEY, KS 66442-4030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005893
GA
Other
Enumeration date
12/08/2016
Last updated
10/22/2025
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