Provider Demographics
NPI:1578862397
Name:FEROGLIA, HEATHER KATHLEEN (MOT, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:KATHLEEN
Last Name:FEROGLIA
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 VICTORIA COMMONS BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-7722
Mailing Address - Country:US
Mailing Address - Phone:386-943-4690
Mailing Address - Fax:
Practice Address - Street 1:151 VICTORIA COMMONS BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-7722
Practice Address - Country:US
Practice Address - Phone:386-943-4690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT14480225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand