Individual
MS. TRACY A. HEFFERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
53 BEDFORD AVE, MIDDLETOWN, NY 10940-6414
(845) 326-1776
Mailing address
200 WOODHILLS DR, APT. 204, GOSHEN, NY 10924-1404
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001500-1
NY
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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