Most Relevant Information
Provider Data
| NPI Number: | 1003570896 |
| Provider Name: | BRADY D HEISTAND OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT007018 |
Most Important Dates
| Enumeration Date: | 10/27/2021 |
| Last Updated: | 10/27/2021 |
Provider Practice Location
109 KETTERING CT
PICKERINGTON
OH
431472100
Practice Location Phone/Fax
| Phone: | 6145700863 |
| Fax: |
Provider Mailing Location
7171 KECK PARK CIR NW
NORTH CANTON
OH
447206301
Provider Mailing Phone/Fax
| Phone: | 3304988200 |
| Fax: |