Individual
MS. DIANE CAREY HEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6467 LAWNTON ST, PHILADELPHIA, PA 19128-2522
(267) 342-0760
Mailing address
6467 LAWNTON ST, PHILADELPHIA, PA 19128-2522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015455
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024723900001
JAYCARE
—
Enumeration date
12/19/2017
Last updated
12/19/2017
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