Individual
MARISSA HEILSHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1350 ALUM CREEK DR, COLUMBUS, OH 43209-2705
(614) 262-7520
Mailing address
1350 ALUM CREEK DR, COLUMBUS, OH 43209-2705
(614) 262-7520
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010694
OH
225X00000X
Occupational Therapist
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
385HR2050X
Respite Care Camp
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133235
—
OH
Enumeration date
12/18/2020
Last updated
08/10/2022
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