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NPI Code Detail

MEDICARE: ABIGAIL HELLER 00030 - OTR/L

MEDICARE: ABIGAIL HELLER 00030 - 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
1225X00000XOccupational Therapist0119011223VA

General Provider Information

NPI Number : 1104789148
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL HELLER 00030 - OTR/L
Provider Business Mailing Address
First Line : 2151 OLD ROCKY RIDGE RD STE 100
Second Line :
City : VESTAVIA HILLS
State : AL
Zip : 35216-7251
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1591 PORT REPUBLIC RD
Second Line :
City : ROCKINGHAM
State : VA
Zip : 22801-3517
Country : US
Telephone Number : 540-437-4226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/05/2025

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