Individual
MRS. DEANNE FAIRLEY HEITZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8766 E. HWY 69, HUMBOLDT UNIFIED SCHOOL DISTRICT # 22/580, PRESCOTT VALLEY, AZ 86314
(928) 759-4042
(928) 759-4030
Mailing address
8766 E. HWY 69, HUMBOLDT UNIFIED SCHOOL DISTRICT # 22/550, PRESCOTT VALLEY, AZ 86314
(928) 759-4042
(928) 759-4030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0125
AZ
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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