Provider Demographics
NPI:1982237038
Name:HEARN, EMMA (OTR)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:HEARN
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 1:16141 WEATHERLY WAY
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-8953
Mailing Address - Country:US
Mailing Address - Phone:704-534-0188
Mailing Address - Fax:
Practice Address - Street 1:7171 E LONE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85266-5701
Practice Address - Country:US
Practice Address - Phone:480-488-0309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist