Provider Demographics
NPI:1801859665
Name:JONES, HEIDI M (OT)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 VASSAR DR
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19440-3471
Mailing Address - Country:US
Mailing Address - Phone:215-816-7221
Mailing Address - Fax:
Practice Address - Street 1:805 VASSAR DR
Practice Address - Street 2:
Practice Address - City:HATFIELD
Practice Address - State:PA
Practice Address - Zip Code:19440-3471
Practice Address - Country:US
Practice Address - Phone:215-816-7221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2015-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC002893L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2424703OtherUNITED HEALTHCARE
PA174403OtherBC/BS