Provider Demographics
NPI:1144796475
Name:CZIRR, HEIDI ANN (MOTR/L)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:ANN
Last Name:CZIRR
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:MRS
Other - First Name:HEIDI
Other - Middle Name:ANN
Other - Last Name:CZIRR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MOTR/L
Mailing Address - Street 1:4908 S ASHTON CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-8606
Mailing Address - Country:US
Mailing Address - Phone:509-979-9994
Mailing Address - Fax:
Practice Address - Street 1:6025 N ASSEMBLY ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-7674
Practice Address - Country:US
Practice Address - Phone:509-326-8282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-14
Last Update Date:2018-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60159257225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist