Samantha Heavner OTR/L
Occupational Therapist in Grand Rapids, MI(View on Map)
Full Name
Samantha Heavner OTR/L
NPI Number
1124424239
NPI Type
Individual Provider
Gender
Female
Enumeration Date
11/17/2014
Specialties
(Taxonomies)Licenses
State
New York
License Number
018807
Contact
Information
Purpose
Mailing
Location
Address
235 WEALTHY ST SE
235 WEALTHY ST SE
City
Grand Rapids
Grand Rapids
State
MI
MI
Postal Code
49503-5247
49503-5247
Country
US
US
Telephone Number
N/A
(616) 840-8000
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/17/2023