Provider Demographics
NPI:1255813192
Name:HAMLIN, HEATHER SCHILLING (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:SCHILLING
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 S CHOLLA PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-7480
Mailing Address - Country:US
Mailing Address - Phone:480-206-7478
Mailing Address - Fax:
Practice Address - Street 1:2424 S CHOLLA PL
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-7480
Practice Address - Country:US
Practice Address - Phone:480-206-7478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3649225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ3649Medicaid