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Individual

HEATHER FOERSTER-BACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
10459 RALEIGH RD, WOODBURY, MN 55129-4202
(928) 607-4233
Mailing address
10459 RALEIGH RD, WOODBURY, MN 55129-4202
(928) 607-4233
(928) 607-4233

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103683
MN
225X00000X
Occupational Therapist
OT.0003320
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
813867
AHCCCS NUMBER
AZ
Enumeration date
10/11/2006
Last updated
05/10/2021
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