Provider Demographics
NPI:1033289640
Name:MORIN, HEATHER R (OT)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:R
Last Name:MORIN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:R
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:3 INDUSTRIAL DRIVE
Mailing Address - Street 2:UNIT 1
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087
Mailing Address - Country:US
Mailing Address - Phone:603-870-0078
Mailing Address - Fax:603-870-8134
Practice Address - Street 1:3 INDUSTRIAL DRIVE
Practice Address - Street 2:UNIT 1
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087
Practice Address - Country:US
Practice Address - Phone:603-870-0078
Practice Address - Fax:603-870-8134
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1288225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH99560056Medicaid
NH1307153YONH03OtherBCBS
NH020377315OtherCOMM TAX ID