Provider Demographics
NPI:1174826895
Name:HEEP, VANESSA RAE (OTD, MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:RAE
Last Name:HEEP
Suffix:
Gender:F
Credentials:OTD, MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7627 EAGLE LEDGE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2787
Mailing Address - Country:US
Mailing Address - Phone:210-793-8363
Mailing Address - Fax:281-476-6387
Practice Address - Street 1:7627 EAGLE LEDGE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2787
Practice Address - Country:US
Practice Address - Phone:210-793-8363
Practice Address - Fax:281-476-6387
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-20
Last Update Date:2014-07-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist