Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 005560-1 | NY |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 005560-1 | NY |
NPI | 1255640207 |
---|---|
Provider Name | Mrs. Cathie L. Heggie |
First Address | Oxford, NY 13830-3250 |
Second Address | Oxford, NY 13830-3250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2010 |
Last Update Date | 24/09/2010 |