Provider Demographics
NPI:1275873416
Name:HEALD, ANA'LUCIA (OTR)
Entity Type:Individual
Prefix:MS
First Name:ANA'LUCIA
Middle Name:
Last Name:HEALD
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:ANA'LUCIA
Other - Middle Name:
Other - Last Name:ROMERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1002 PLAZA PL
Mailing Address - Street 2:
Mailing Address - City:ABSECON
Mailing Address - State:NJ
Mailing Address - Zip Code:08201-1432
Mailing Address - Country:US
Mailing Address - Phone:609-350-0026
Mailing Address - Fax:
Practice Address - Street 1:42 W JIMMIE LEEDS RD
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9401
Practice Address - Country:US
Practice Address - Phone:609-350-0026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
NJ225X00000X
CA13244225X00000X
NJ46TR00577400225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist