Samantha Heavner, OTR/L
Occupational Therapist in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1124424239
StatusActive
Last updated in NPPESAug 17, 2023
Details
- NPI
- 1124424239
- Entity type
- Individual (NPI-1)
- Name
- Samantha Heavner
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2014
- Certification date
- Aug 17, 2023
- Last updated
- Aug 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | MI | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 225X00000X | Occupational Therapist | 018807 | NY |
Practice location
235 Wealthy St SeGrand Rapids, MI 49503-5247
Phone 616-840-8000
Mailing address
235 Wealthy St SeGrand Rapids, MI 49503-5247
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All 448 Occupational Therapist providers in Grand Rapids · All 20,987 providers in Grand Rapids
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