Provider Demographics
NPI:1427852417
Name:HEGGLER, ANGELE (OT)
Entity type:Individual
Prefix:
First Name:ANGELE
Middle Name:
Last Name:HEGGLER
Suffix:
Gender:
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 SAINT FABIAN DR
Mailing Address - Street 2:
Mailing Address - City:CARENCRO
Mailing Address - State:LA
Mailing Address - Zip Code:70520-5577
Mailing Address - Country:US
Mailing Address - Phone:318-344-0106
Mailing Address - Fax:
Practice Address - Street 1:3913 HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-9435
Practice Address - Country:US
Practice Address - Phone:337-201-5905
Practice Address - Fax:337-660-2241
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
LA225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist