Heather Oakes
Individual provider Active NPI Specialist · Clinton, OH
NPI 1710301908 · NPPES record last updated Feb 10, 2014
Key facts
- NPI
- 1710301908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- OTA.02893 (OH)
- Practice address
- 8577 Wonderland Ave NW
Clinton, OH 44216-9516 - Phone
- (330) 854-9128
- NPI assigned
- Feb 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA.02893 | OH | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OTA.02893 | OH | Yes |
Addresses
Primary practice location
8577 Wonderland Ave NW
Clinton, OH 44216-9516
Mailing address
8577 Wonderland Ave NW
Clinton, OH 44216-9516
Phone (330) 854-9128
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTA.02893 | Other | OH | OCCUPATIONAL THERAPY |
Other providers in Clinton, OH
- New Destiny Treatment Center Mental Health and Special Services LLC
- New Destiny Treatment Center Mental Health and Special Services LLC
- New Destiny Treatment Center, Inc.
- New Destiny Treatment Center, Inc.
- Karen Gene Nitzel
- Deborah Pamer
- Elizabeth Rhoades
- Alexander W Safranek
- Jennifer Smith
- Victrina Smith
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.