SHANNON MARIE HEITMILLER

LAFAYETTE, IN
NPI1033646807
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XH1200X Occupational Therapist, Hand
(Licence: IN  30012351A)
Enumeration Date2017-05-11
Last Update Date2017-05-11
Business Address
Mrs. SHANNON MARIE HEITMILLER OTR
1260 N 17TH ST
LAFAYETTE, IN 47904-2163
Phone number: 765-423-6885
Mailing Address
Mrs. SHANNON MARIE HEITMILLER OTR
1260 N 17TH ST
LAFAYETTE, IN 47904-2163
Phone number: 765-423-6885