Individual
BETHANY HEIDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
66 HAWTHORNE DR S, BEDFORD, NH 03110
(603) 644-2200
Mailing address
57 ASHMERE DR, MANCHESTER, NH 03109-5948
(978) 729-5559
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2365
NH
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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