Individual
SUZANNE ELAINE HEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1560 HENTHORNE DR, MAUMEE, OH 43537-1371
(419) 866-6312
Mailing address
PO BOX 611, HOLLAND, OH 43528-0611
(419) 866-6312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 000315
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609899061
CORPORATION NPI NUMBER
—
05
—
2526654
—
OH
Enumeration date
03/21/2008
Last updated
03/21/2008
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