Scott Heuring, COTA

Individual provider Active NPI Occupational Therapy Assistant · Whiting, IN

NPI 1871129262 · NPPES record last updated Mar 17, 2020

Key facts

NPI
1871129262
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
1543 Fischrupp Ave
Whiting, IN 46394-2030
Phone
(219) 309-3770
NPI assigned
Mar 17, 2020
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Yes

Addresses

Primary practice location

1543 Fischrupp Ave
Whiting, IN 46394-2030

Mailing address

4815 Western Blvd.
Chicago, IL 60618
Phone (219) 309-3770

Other providers in Whiting, IN

All providers in Whiting, IN · Occupational Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.