Provider Demographics
NPI:1588615934
Name:LIPSHUTZ, HEIDI (OTR/L, CHT)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:
Last Name:LIPSHUTZ
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 FAIRFIELD MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-1813
Mailing Address - Country:US
Mailing Address - Phone:954-290-7559
Mailing Address - Fax:
Practice Address - Street 1:1101 FAIRFIELD MEADOWS DR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33327-1813
Practice Address - Country:US
Practice Address - Phone:954-290-7559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT5932225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand