Individual
MRS. TAMMY VICTORIA HEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2755 STATE HIGHWAY 67, JOHNSTOWN, NY 12095-3747
(518) 736-4681
Mailing address
323 CANAL ST, FORT PLAIN, NY 13339-1160
(518) 993-2111
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011330-1
NY
Other
Enumeration date
12/05/2010
Last updated
12/07/2010
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