Individual
ROSE MARY HEACOCK-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8000 DOUGLAS AVE, URBANDALE, IA 50322
(515) 251-3700
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 590-4029
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
074004
IA
225X00000X
Occupational Therapist
OT005553
GA
Other
Enumeration date
06/10/2013
Last updated
08/13/2018
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