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NPI Code Detail

MEDICARE: ANGELINE DENISE HEINZINGER

MEDICARE: ANGELINE DENISE HEINZINGER
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
1224Z00000XOccupational Therapy AssistantHEINZAD171NAWA
2225XP0200XPediatric Occupational Therapist124383TX

General Provider Information

NPI Number : 1679827539
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELINE DENISE HEINZINGER
Provider Business Mailing Address
First Line : 14100 SE 171ST WAY APT A301
Second Line :
City : RENTON
State : WA
Zip : 98058-8817
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 900 JUNCTION DR
Second Line :
City : ALLEN
State : TX
Zip : 75013-5290
Country : US
Telephone Number : 469-675-3153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2012
Last Update Date : 02/20/2024

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Directions to “ ANGELINE DENISE HEINZINGER ” Practice Location

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