| NPI | 1710221668 |
|---|---|
| Former Name | KOURTNEY HEICHEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC012565) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: NJ 46TR00592700) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-05-30 |