Tina M Heebsh COTA

NPI 1215271762 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1215271762
Gender Female
Enumeration Date 11/23/2012
Last Updated 11/23/2012
Entity Type Individual
Active Over 3 years ago
Practice Location
9244 29TH AVE
KENOSHA WI, 53143-6602, US
Phone (262) 694-0080
Business Location
WATERFORD WI, 53185-4429, US
Phone (262) 534-3821
Taxonomy Code 224Z00000X
License State Wisconsin
License Number 786-27
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According to our database, Mrs. Tina M Heebsh COTA NPI is 1215271762, taxonomy code is 224Z00000X and license number is 786-27, license state is located at Wisconsin. Tina M Heebsh COTA physically located at 9244 29th Ave, Kenosha WI, 53143-6602. NPI Number Tina M Heebsh COTA has the Individual type.

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1215271762 NPI number is provided on an as is basis without warranty of any kind. 1215271762 is maintained by the National Plan & Provider Enumeration System. The contents of Tina M Heebsh COTA are for informational purposes only.