National Provider Identifier

Stephanie Lynn Nugent Heimburg, OTR/L

Stephanie Lynn Nugent Heimburg, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Jamestown, NY and a listed phone number of (716) 488-2322.

NPI 1821233669Jamestown, NYOccupational Therapist

Profile Overview

NPI
1821233669
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
December 09, 2008
Last Updated
September 26, 2012

Practice Location

  • 15 S Main St
  • Suite 220
  • Jamestown, NY 14701-6626

Phone: (716) 488-2322

Mailing Address

  • PO Box 318
  • Ashville, NY 14710-0318

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1821233669
Entity Type
Individual
Last Name
Nugent Heimburg
First Name
Stephanie
Middle Name
Lynn
Name Prefix
Mrs.
Credential
OTR/L
Mailing Street Address
PO Box 318
Mailing City
Ashville
Mailing State
NY
Mailing ZIP Code
14710-0318
Mailing Country
US
Mailing Phone
(716) 488-2322
Mailing Fax
(716) 488-2574
Practice Street Address
15 S Main St
Practice Address Line 2
Suite 220
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-6626
Practice Country
US
Practice Phone
(716) 488-2322
Practice Fax
(716) 488-2574
Enumeration Date
December 09, 2008
Last Updated
September 26, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)