Melanie Dawn Heck, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Mount Joy, PA

NPI 1366937245 · NPPES record last updated Jun 25, 2018

Key facts

NPI
1366937245
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OP002800L (PA)
Practice address
607 Hearthstone LN
Mount Joy, PA 17552-9687
Phone
(717) 492-9692
Fax
(717) 653-2083
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OP002800LPAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP002800L PA Yes

Addresses

Primary practice location

607 Hearthstone LN
Mount Joy, PA 17552-9687

Mailing address

501 S 4TH St
Denver, PA 17517-1131
Phone (717) 587-0049

Other identifiers

IdentifierTypeStateIssuer
1568873537MedicaidPA

Other providers in Mount Joy, PA

All providers in Mount Joy, PA · Occupational Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.