Provider Demographics
NPI:1255640207
Name:HEGGIE, CATHIE L (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CATHIE
Middle Name:L
Last Name:HEGGIE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:CATHIE
Other - Middle Name:L
Other - Last Name:LANNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:145 INGRAHAM RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13830-3250
Mailing Address - Country:US
Mailing Address - Phone:607-843-2101
Mailing Address - Fax:
Practice Address - Street 1:145 INGRAHAM RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NY
Practice Address - Zip Code:13830-3250
Practice Address - Country:US
Practice Address - Phone:607-843-2101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-24
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005560-1225XP0019X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation