Individual
HEATHER LYNN MASDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
246 ROBERTS RD, NEW LENOX, IL 60451-1924
(708) 522-3771
Mailing address
246 ROBERTS RD, NEW LENOX, IL 60451-1924
(708) 522-3771
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057000731
IL
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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