Individual
MRS. KAREN L HEINEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4006 ALPINE ACRES LN, BRIGHTON, IL 62012-2908
(618) 372-3507
Mailing address
4006 ALPINE ACRES LN, BRIGHTON, IL 62012-2908
(618) 372-3507
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003363
IL
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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