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NPI Code Detail

MEDICARE: KRISTY LEIGH HEGE OTR/L

MEDICARE: KRISTY LEIGH HEGE OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant4802NC
2225X00000XOccupational Therapist14537NC

General Provider Information

NPI Number : 1265715098
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTY LEIGH HEGE OTR/L
Provider Business Mailing Address
First Line : 400 JOHNSON RIDGE MEDICAL PARK
Second Line :
City : ELKIN
State : NC
Zip : 28621-2447
Country : US
Telephone Number : 336-835-0303
Fax Number :
Provider Business Practice Location Address
First Line : 400 JOHNSON RIDGE MEDICAL PARK
Second Line :
City : ELKIN
State : NC
Zip : 28621-2447
Country : US
Telephone Number : 336-835-0303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2011
Last Update Date : 11/19/2021

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Directions to “ KRISTY LEIGH HEGE OTR/L” Practice Location

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