Healthcare Provider Details

I. General information

NPI: 1639237811
Provider Name (Legal Business Name): HEATHER REED HIGH OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2604 MAPLESIDE LN
AURORA IL
60502-9104
US

IV. Provider business mailing address

5012 CONEFLOWER DR
NAPERVILLE IL
60564-5333
US

V. Phone/Fax

Practice location:
  • Phone: 630-566-8658
  • Fax:
Mailing address:
  • Phone: 630-885-0548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number056.009072
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: