Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellie Nichole Heublein, MOT, OTR/L

Individual provider Occupational Therapist · NPI 1033608815

Kellie Nichole Heublein, MOT, OTR/L is an Occupational Therapist in Corte Madera, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

500 Tamal Plz Ste 527
Corte Madera, CA 94925-1187
Phone: (707) 339-0651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 14266 (CA)
Occupational Therapist Taxonomy 225X00000X · Licence 14266 (CA)

Record details

NPI number1033608815
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT , OTR/L
Sole proprietorNo
NPI enumeratedMay 7, 2018
Last updated in NPPESMay 8, 2018

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