Provider Demographics
NPI:1518112622
Name:KITTAY-HEFFLER, DEBORAH (OTRL)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:KITTAY-HEFFLER
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 OLD BROOK LANE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990
Mailing Address - Country:US
Mailing Address - Phone:845-987-2808
Mailing Address - Fax:845-987-7428
Practice Address - Street 1:15 OLD BROOK LANE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990
Practice Address - Country:US
Practice Address - Phone:845-987-2808
Practice Address - Fax:845-987-7428
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist