Individual
MRS. HEIDI SARA LAGASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
241 TURQUOISE CIR, LITTLE RIVER, SC 29566-8131
(860) 944-7682
Mailing address
241 TURQUOISE CIR, LITTLE RIVER, SC 29566-8131
(860) 944-7682
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
000193
CT
224Z00000X
Occupational Therapy Assistant
Primary
3147
SC
Other
Enumeration date
12/24/2012
Last updated
12/24/2012
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