Individual
MS. HEATHER ELIZABETH O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
107536
TX
225XP0200X
Pediatric Occupational Therapist
Primary
107536
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75285003678239A007
TRICARE
TX
01
—
8T0947
BCBS
TX
Enumeration date
08/31/2006
Last updated
10/21/2019
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