MEDICARE: KATIE HELUS OTR

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

General Provider Information

NPI Number	:	1922717792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE HELUS OTR

Provider Business Mailing Address
First Line	:	3298 LENOX VILLAGE DR UNIT 207
Second Line	:
City	:	FAIRLAWN
State	:	OH
Zip	:	44333-4415
Country	:	US
Telephone Number	:	330-819-6365
Fax Number	:

Provider Business Practice Location Address
First Line	:	3298 LENOX VILLAGE DR UNIT 207
Second Line	:
City	:	FAIRLAWN
State	:	OH
Zip	:	44333-4415
Country	:	US
Telephone Number	:	330-819-6365
Fax Number	:

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

Provider Enumeration Date	:	11/21/2022
Last Update Date	:	11/21/2022

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Directions to “ KATIE HELUS OTR” Practice Location

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