Provider Demographics
NPI:1154641843
Name:SILICATO, HEATHER RENEE (MS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:RENEE
Last Name:SILICATO
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:563 RAUGHLEY HILL RD
Mailing Address - Street 2:
Mailing Address - City:HARRINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19952-3171
Mailing Address - Country:US
Mailing Address - Phone:302-632-8707
Mailing Address - Fax:
Practice Address - Street 1:300 HALL PL
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1809
Practice Address - Country:US
Practice Address - Phone:302-396-0473
Practice Address - Fax:302-258-1853
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEU1-0001172225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist