SAMANTHA RAE HEITNER

NEW LENOX, IL
NPI1679202147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.015839)
Enumeration Date2022-06-08
Last Update Date2024-05-10
Business Address
SAMANTHA RAE HEITNER
147 CENTRAL RD
NEW LENOX, IL 60451-2103
Phone number: 815-641-0777
Mailing Address
SAMANTHA RAE HEITNER
147 CENTRAL RD
NEW LENOX, IL 60451-2103
Phone number: