Samantha Rae Heitner

NPI #1679202147 in New Lenox, Illinois

Provider Information

NPI Number: 1679202147
Entity Type: Individual
Name: Samantha Rae Heitner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Jun 8, 2022
Last Updated: May 10, 2024

Practice Location

Address: 147 CENTRAL RD
City: New Lenox
State: Illinois
ZIP Code: 60451-2103
Phone: (815) 641-0777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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