Provider Demographics
NPI:1073899530
Name:BILLIOT, HEATHER MARIE (OTR/L)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:MARIE
Last Name:BILLIOT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:558 W GREENWOOD DR APT B
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81507-2498
Mailing Address - Country:US
Mailing Address - Phone:985-817-0465
Mailing Address - Fax:
Practice Address - Street 1:19454 SIMON DR
Practice Address - Street 2:
Practice Address - City:VACHERIE
Practice Address - State:LA
Practice Address - Zip Code:70090-3249
Practice Address - Country:US
Practice Address - Phone:985-817-0465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-28
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT14901225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist