Individual
MRS. HEATHER ANN MAHNKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4 JACKSON ST NE, FT. WALTON BEACH, FL 32548
(850) 862-7227
Mailing address
768 ST. VINCENT CV, NICEVILLE, FL 32578
(850) 279-6431
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5322
NC
225XP0200X
Pediatric Occupational Therapist
12365
FL
Other
Enumeration date
10/18/2006
Last updated
09/11/2025
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