Kellie Nichole Heublein
Occupational Therapist Occupational Therapist - Pediatrics
500 Tamal Plz Ste 527
Corte Madera
, California 94925-1187
Kellie Nichole Heublein
Occupational Therapist Occupational Therapist - Pediatrics
500 Tamal Plz Ste 527
Corte Madera
, California 94925-1187
(707) 339-0651
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Kellie Nichole Heublein
- 29 Joan Ave
- Novato, CA
- Zip : 94947-4120
- Phone : (707) 339-0651
Second Address
- Kellie Nichole Heublein
- 500 Tamal Plz Ste 527
- Corte Madera, CA
- Zip : 94925-1187
- Phone : (707) 339-0651
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 14266 | CA |
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 14266 | CA |
National Provider Identifier
| NPI | 1033608815 |
|---|---|
| Provider Name | Kellie Nichole Heublein |
| First Address | Novato, CA 94947-4120 |
| Second Address | Corte Madera, CA 94925-1187 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2018 |
| Last Update Date | 08/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.