Individual
HEATHER WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
250 NW 76TH DR, GAINESVILLE, FL 32607-6668
(352) 055-6363
Mailing address
7535 NW 44TH PL, GAINESVILLE, FL 32606-4140
(407) 340-4083
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15620
FL
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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