Individual
MRS. HEATHER DIANE INGENITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
13321 W STATE ROAD 32, YORKTOWN, IN 47396-9722
(765) 378-5760
(765) 378-5768
Mailing address
13321 W STATE ROAD 32, YORKTOWN, IN 47396-9722
(765) 378-5760
(765) 378-5768
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000546A
IN
Other
Enumeration date
01/20/2007
Last updated
07/08/2007
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