Provider Demographics
NPI:1538692744
Name:TARR, HEIDI (OTR/L)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:TARR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:MOLARSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:4 RIVERSIDE PL
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-7234
Mailing Address - Country:US
Mailing Address - Phone:207-251-2414
Mailing Address - Fax:
Practice Address - Street 1:4 RIVERSIDE PL
Practice Address - Street 2:
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-7234
Practice Address - Country:US
Practice Address - Phone:207-251-2414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT 1207225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist