Provider Demographics
NPI:1275861593
Name:MAJTYKA, HEATHER AMANDA (OTR/L SIPT IMC)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:AMANDA
Last Name:MAJTYKA
Suffix:
Gender:F
Credentials:OTR/L SIPT IMC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:MAJTYKA
Other - Last Name:HAGGERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L SIPT IMC
Mailing Address - Street 1:600 N JACKSON STREET
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063
Mailing Address - Country:US
Mailing Address - Phone:484-444-2285
Mailing Address - Fax:484-444-2295
Practice Address - Street 1:600 N JACKSON ST STE 203
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-2574
Practice Address - Country:US
Practice Address - Phone:484-444-2285
Practice Address - Fax:484-444-2295
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5817225X00000X
DEU1-0001073225X00000X
PAOC010756225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist