Provider Demographics
NPI:1811298193
Name:KERNER, HEATHER (OTR)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:KERNER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 HEATH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04963-4901
Mailing Address - Country:US
Mailing Address - Phone:207-465-2435
Mailing Address - Fax:207-465-4983
Practice Address - Street 1:41 HEATH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:ME
Practice Address - Zip Code:04963-4901
Practice Address - Country:US
Practice Address - Phone:207-465-2435
Practice Address - Fax:207-465-4983
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT1833225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist