Doctor Name: | HEATHER OAKES |
NPI Number: | 1710301908 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | OTA.02893 |
Business Practice Address: | 8577 Wonderland Ave Nw Clinton, OH - 442169516 |
Business Phone Number: | 3308549128 |
Business Fax Number: | |
Mailing Address: | 8577 Wonderland Ave Nw, CLINTON |
State: | OH |
Postal Code: | 442169516 |
Phone Number: | 3308549128 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2014 |
NPI Last Update Date: | 02/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OTA.02893 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |