Provider Demographics
NPI:1417372459
Name:LENKER, HEATHER (COTA/L)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:LENKER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 SPRING FARM CIR
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-8504
Mailing Address - Country:US
Mailing Address - Phone:717-245-0576
Mailing Address - Fax:
Practice Address - Street 1:113 SPRING FARM CIR
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-8504
Practice Address - Country:US
Practice Address - Phone:717-245-0576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP002559L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant