Provider Demographics
NPI:1649669607
Name:MEYERS, HEATHER ANN
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:ANN
Last Name:MEYERS
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 1:22 SENECA PARKSIDE
Mailing Address - Street 2:LOWER
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14210-2417
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22 SENECA PARKSIDE
Practice Address - Street 2:LOWER
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14210-2417
Practice Address - Country:US
Practice Address - Phone:716-939-7789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant