Individual
SARA HEINICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
31 HOSIER ST, SELBYVILLE, DE 19975-9300
(302) 432-1000
Mailing address
30207 FRANKFORD SCHOOL RD, FRANKFORD, DE 19945-2616
(302) 732-3800
(302) 732-6016
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-0001120
DE
Other
Enumeration date
12/26/2007
Last updated
04/10/2018
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