Individual
MRS. HEIDI MARIE EPPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
500 TIGER BLVD., BENTONVILLE, AR 72712
(479) 254-5065
(479) 271-1123
Mailing address
612 CHATEAU DR., ROGERS, AR 72758-3936
(479) 621-8180
(479) 621-8506
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 1615
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126411721
—
AR
01
—
5U213
BLUE CROSS
AR
Enumeration date
06/08/2006
Last updated
11/13/2008
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