Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TAMARA PRUETTE HEACOCK, OTR/L
Active Sole ProprietorMRS. TAMARA PRUETTE HEACOCK, OTR/L is a In Home Supportive Care Agency healthcare provider located in ASTON, Pennsylvania. NPI 1669725818 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · ASTON, PA
Registration Details
- NPI Number
- 1669725818
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 24, 2012 (13.660069421533 yrs)
- Last Updated
- Oct 24, 2012
- License
-
OC003910L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3200 CONCORD RDASTON, PA, 190141931Browse PA providers · Browse ZIP 19014
- Phone
- 6108597833
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
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.