MEDICARE: KATHERINE HEATH DOT, 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
1	225X00000X	Occupational Therapist	OT011156	OH

General Provider Information

NPI Number	:	1790398055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE HEATH DOT, OTR/L

Provider Business Mailing Address
First Line	:	3185 WATERFORD DR
Second Line	:
City	:	LEWIS CENTER
State	:	OH
Zip	:	43035-9239
Country	:	US
Telephone Number	:	740-815-7995
Fax Number	:

Provider Business Practice Location Address
First Line	:	5225 COX SMITH RD
Second Line	:
City	:	MASON
State	:	OH
Zip	:	45040-9276
Country	:	US
Telephone Number	:	513-234-5570
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2020
Last Update Date	:	08/26/2020

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Directions to “ KATHERINE HEATH DOT, OTR/L” Practice Location

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