Doctor Name: | MRS. LINDA K HEINZE |
NPI Number: | 1053457903 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTRL, CHT |
License Number: | 003983 |
Business Practice Address: | 790 N Us Highway 67 Florissant, MO - 630315108 |
Business Phone Number: | 3149721442 |
Business Fax Number: | 3149721533 |
Mailing Address: | 13537 Barrett Parkway Dr, Suite 105 BALLWIN |
State: | MO |
Postal Code: | 630215899 |
Phone Number: | 3148219126 |
Fax Number: | 3148219142 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 003983 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |