Provider Demographics
NPI:1023444700
Name:DALRYMPLE, HEATHER FAY (OT)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:FAY
Last Name:DALRYMPLE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 W HORIZON RIDGE PKWY
Mailing Address - Street 2:160
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-3501
Mailing Address - Country:US
Mailing Address - Phone:702-566-8255
Mailing Address - Fax:702-297-6830
Practice Address - Street 1:1510 W HORIZON RIDGE PKWY
Practice Address - Street 2:160
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-3501
Practice Address - Country:US
Practice Address - Phone:702-566-8255
Practice Address - Fax:702-297-6830
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2014-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist