Provider Demographics
NPI:1891919031
Name:BELAND, HEATHER EDGAR (OT)
Entity Type:Individual
Prefix:MISS
First Name:HEATHER
Middle Name:EDGAR
Last Name:BELAND
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 1:2 INDIAN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1208
Mailing Address - Country:US
Mailing Address - Phone:201-338-2222
Mailing Address - Fax:
Practice Address - Street 1:3325 RTE 35
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1552
Practice Address - Country:US
Practice Address - Phone:917-584-4884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012179-1225X00000X
NJTR00505100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist