Provider Demographics
NPI:1639142045
Name:HEILMAN, KERRI SPENCE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:SPENCE
Last Name:HEILMAN
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 1:1388 LANETOWN RD
Mailing Address - Street 2:
Mailing Address - City:CROZET
Mailing Address - State:VA
Mailing Address - Zip Code:22932-2811
Mailing Address - Country:US
Mailing Address - Phone:434-216-4825
Mailing Address - Fax:
Practice Address - Street 1:1388 LANETOWN RD
Practice Address - Street 2:
Practice Address - City:CROZET
Practice Address - State:VA
Practice Address - Zip Code:22932-2811
Practice Address - Country:US
Practice Address - Phone:434-216-4825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2022-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119003052225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist