National Provider Identifier
Heather Ann Petrusek, OTR
Heather Ann Petrusek, OTR is listed in the NPPES registry with a primary specialty of Occupational Therapist in Depew, NY and a listed phone number of (716) 866-6026.
Profile Overview
- NPI
- 1194009670
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- October 03, 2011
- Last Updated
- February 03, 2020
Practice Location
- 6221 Transit RD
- Depew, NY 14043-1024
Phone: (716) 866-6026
Mailing Address
- 6 Joseph Dr
- Lancaster, NY 14086-9439
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1194009670
- Entity Type
- Individual
- Last Name
- Petrusek
- First Name
- Heather
- Middle Name
- Ann
- Name Prefix
- Mrs.
- Credential
- OTR
- Mailing Street Address
- 6 Joseph Dr
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-9439
- Mailing Country
- US
- Mailing Phone
- (716) 866-6026
- Practice Street Address
- 6221 Transit RD
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-1024
- Practice Country
- US
- Practice Phone
- (716) 866-6026
- Enumeration Date
- October 03, 2011
- Last Updated
- February 03, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 03, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)