Organization
HILLARY D HEITZMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY D HEITZMAN OT (OCCUPATIONAL THERAPIST/OWNER)
(229) 402-1421
Entity
Organization
Contact information
Practice address
1254 INEVA CIR, FITZGERALD, GA 31750-6555
(229) 402-1421
Mailing address
1254 INEVA CIR, FITZGERALD, GA 31750-6555
(229) 402-1421
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005866
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003199207A
—
GA
Enumeration date
01/31/2018
Last updated
01/31/2018
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