MRS. Tamara Pruette Heacock, OTR/L

NPI #1669725818 in Aston, Pennsylvania

Provider Information

NPI Number
1669725818
Entity Type
Individual
Name
MRS. Tamara Pruette Heacock, OTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
In Home Supportive Care
Credential
OTR/L
Enumeration Date
Oct 24, 2012
Last Updated
Oct 24, 2012

Practice Location

Address
3200 CONCORD RD
City
Aston
ZIP Code
19014-1931
Phone
(610) 859-7833

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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