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NPI Code Detail

MEDICARE: HEATHER DRAUGHN OTR

MEDICARE: HEATHER DRAUGHN 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
1225XG0600XGerontology Occupational Therapist

General Provider Information

NPI Number : 1396226916
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER DRAUGHN OTR
Provider Business Mailing Address
First Line : 600 N PEARL ST STE 1050
Second Line :
City : DALLAS
State : TX
Zip : 75201-7495
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6700 HERITAGE PKWY
Second Line :
City : ROCKWALL
State : TX
Zip : 75087-8748
Country : US
Telephone Number : 972-412-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2018
Last Update Date : 07/21/2025

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