Individual
MRS. KELLI SUZANNE HEINLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
906 SCIOTO ST, URBANA, OH 43078-2226
(937) 653-5432
Mailing address
1234 BURNHAM DR, COLUMBUS, OH 43228-7316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009918
OH
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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