Provider Demographics
NPI:1841507357
Name:HEYMAN, JEANNE MYRA (OTR/L)
Entity type:Individual
Prefix:MISS
First Name:JEANNE
Middle Name:MYRA
Last Name:HEYMAN
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 1:447 7TH AVE
Mailing Address - Street 2:APT.1B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-5542
Mailing Address - Country:US
Mailing Address - Phone:718-965-0536
Mailing Address - Fax:
Practice Address - Street 1:447 7TH AVE
Practice Address - Street 2:APT. 1B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-5542
Practice Address - Country:US
Practice Address - Phone:718-965-0536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016200225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist