Provider Demographics
NPI:1922301621
Name:O'NEAL, MARY HEATHER
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:HEATHER
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6329 LETSON FARM TRL
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-7053
Mailing Address - Country:US
Mailing Address - Phone:205-837-4203
Mailing Address - Fax:
Practice Address - Street 1:6329 LETSON FARM TRL
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-7053
Practice Address - Country:US
Practice Address - Phone:205-837-4203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-19
Last Update Date:2010-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2593225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist