Provider Demographics
NPI:1629385687
Name:THOMSON, HEATHER KRISTINA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:KRISTINA
Last Name:THOMSON
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 1:24 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:DELHI
Mailing Address - State:NY
Mailing Address - Zip Code:13753-1058
Mailing Address - Country:US
Mailing Address - Phone:607-435-6230
Mailing Address - Fax:607-746-8080
Practice Address - Street 1:24 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:DELHI
Practice Address - State:NY
Practice Address - Zip Code:13753-1058
Practice Address - Country:US
Practice Address - Phone:607-435-6230
Practice Address - Fax:607-746-8080
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009073225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics