Provider Demographics
NPI:1386081032
Name:STEIN, HEATHER A (OTR/L)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:A
Last Name:STEIN
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 1:9330 E KALIL DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5835
Mailing Address - Country:US
Mailing Address - Phone:480-295-9342
Mailing Address - Fax:
Practice Address - Street 1:9494 E BECKER LN
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6720
Practice Address - Country:US
Practice Address - Phone:216-203-9146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6102225X00000X
CA14956225X00000X
OH00804225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist