Provider Demographics
NPI:1538356274
Name:MULCAHEY, HEATHER MARIE (OT)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:MARIE
Last Name:MULCAHEY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1193
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-0995
Mailing Address - Country:US
Mailing Address - Phone:508-557-1442
Mailing Address - Fax:508-557-1462
Practice Address - Street 1:140 UNION ST
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:MA
Practice Address - Zip Code:02370
Practice Address - Country:US
Practice Address - Phone:508-557-1442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOT01343225XP0019X
MA5258225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation