Provider Demographics
NPI:1316269210
Name:MCLAUGHLIN, HEATHER KINTZ (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:KINTZ
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12016 COAL CREEK HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-8590
Mailing Address - Country:US
Mailing Address - Phone:303-642-3433
Mailing Address - Fax:
Practice Address - Street 1:12016 COAL CREEK HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80403-8590
Practice Address - Country:US
Practice Address - Phone:303-642-3433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2012225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist