Individual
HEATHER DORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
113 LOW ST, NEWBURYPORT, MA 01950-3540
(978) 462-7373
Mailing address
113 LOW ST, NEWBURYPORT, MA 01950-3540
(978) 462-7373
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0644
NH
225X00000X
Occupational Therapist
Primary
1866
MA
225X00000X
Occupational Therapist
OT2628
ME
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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