Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN KWAK-HEFFERAN
ActiveJOHN KWAK-HEFFERAN is a Occupational Therapist healthcare provider located in PORT ORANGE, Florida. NPI 1316391014 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · PORT ORANGE, FL
Registration Details
- NPI Number
- 1316391014
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2016 (10.284602581658 yrs)
- Last Updated
- Apr 19, 2016
- License
-
160007217 (IL)
Practice Information
- Address
-
5535 S WILLIAMSON BLVDSUITE 774PORT ORANGE, FL, 321288311Browse FL providers · Browse ZIP 32128
- Phone
- 8003307711
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in PORT ORANGE, FL
| Name | Credential | NPI |
|---|---|---|
| MARK KOLB | PTA | 1780723510 |
| MISS STACI CATHY-SUE ROBERTS | PTA | 1205057858 |
| MS. MEGHAN J TRAVERSE | PTA | 1407058506 |
| ERIC W HARTING | PTA | 1811192636 |
| THERESA L HYATT | PTA | 1295916096 |
| ROBIN P EDSON | PTA | 1720260292 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.