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General NPI Number Information
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NPI Number | 1730715624
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Entity Type | Individual
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Provider Name | HEATHER KATHLEEN MARTIN MSOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 3300 RIVERMONT AVE
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City | LYNCHBURG
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State | VA
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Zip | 24503-2030
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Country | US
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Telephone | 434-200-7600
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Fax | 434-200-1294
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Provider Business Mailing Address
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Address Line | 371 TONY DR
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City | CONCORD
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State | VA
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Zip | 24538-2422
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119008547
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License Number State | VA
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