Provider Demographics
NPI:1952882813
Name:HANDRIGAN, HEATHER ANN (OT)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANN
Last Name:HANDRIGAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12021 METRIC BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-8616
Mailing Address - Country:US
Mailing Address - Phone:512-228-3300
Mailing Address - Fax:
Practice Address - Street 1:5200 DAVIS LN BLDG A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-4071
Practice Address - Country:US
Practice Address - Phone:512-301-8747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116869225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist