Provider Demographics
NPI:1326336090
Name:REAM, HEATHER WOOD (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:WOOD
Last Name:REAM
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1454 WHIPKEY DAM RD
Mailing Address - Street 2:
Mailing Address - City:MARKLETON
Mailing Address - State:PA
Mailing Address - Zip Code:15551-8140
Mailing Address - Country:US
Mailing Address - Phone:814-926-2718
Mailing Address - Fax:
Practice Address - Street 1:1454 WHIPKEY DAM RD
Practice Address - Street 2:
Practice Address - City:MARKLETON
Practice Address - State:PA
Practice Address - Zip Code:15551-8140
Practice Address - Country:US
Practice Address - Phone:814-926-2718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1535225XP0200X
MD06698225XP0200X
PAOC008471225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics