National Provider Identifier

Heather L Dolan, OTR/L

Heather L Dolan, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Newark, NY and a listed phone number of (315) 331-2086.

NPI 1669535126Newark, NYOccupational Therapist

Profile Overview

NPI
1669535126
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
December 18, 2006
Last Updated
December 06, 2023

Practice Location

  • Roosevelt Childrens Center
  • 848 Pierson Avenue
  • Newark, NY 14513

Phone: (315) 331-2086

Mailing Address

  • Arc Wayne/Roosevelt Childrens Center
  • 848 Peirson Avenue
  • Newark, NY 14513

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1669535126
Entity Type
Individual
Last Name
Dolan
First Name
Heather
Middle Name
L
Name Prefix
Mrs.
Credential
OTR/L
Provider Other Last Name
Sullivan
Provider Other First Name
Heather
Provider Other Middle Name
L
Provider Other Credential Text
OTR/L
Provider Other Last Name Type Code
1
Mailing Street Address
Arc Wayne/Roosevelt Childrens Center
Mailing Address Line 2
848 Peirson Avenue
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513
Mailing Country
US
Mailing Phone
(315) 331-2086
Mailing Fax
(315) 331-3215
Practice Street Address
Roosevelt Childrens Center
Practice Address Line 2
848 Pierson Avenue
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513
Practice Country
US
Practice Phone
(315) 331-2086
Practice Fax
(315) 331-3215
Enumeration Date
December 18, 2006
Last Updated
December 06, 2023
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)