Provider Demographics
NPI:1174102990
Name:HAIGHT, HEATHER LEE (OTR)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:LEE
Last Name:HAIGHT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 W CASE DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-2733
Mailing Address - Country:US
Mailing Address - Phone:216-650-0608
Mailing Address - Fax:234-203-1703
Practice Address - Street 1:38 W CASE DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-2733
Practice Address - Country:US
Practice Address - Phone:216-650-0608
Practice Address - Fax:234-203-1703
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT011479225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist