Provider Demographics
NPI:1720392814
Name:HEINZ, MARGARET A (100288 OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:A
Last Name:HEINZ
Suffix:
Gender:F
Credentials:100288 OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 EXCHANGE ST S
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2311
Mailing Address - Country:US
Mailing Address - Phone:651-227-0336
Mailing Address - Fax:
Practice Address - Street 1:330 EXCHANGE ST S
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2311
Practice Address - Country:US
Practice Address - Phone:651-227-0336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN100288225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology