Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 2003020426 | MO |
NPI | 1003318700 |
---|---|
Provider Name | Mrs. Julie A Heuring |
First Address | Cape Girardeau, MO 63701-4910 |
Second Address | Cape Girardeau, MO 63701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2018 |
Last Update Date | 08/03/2018 |