Individual
MS. SUSAN E HEIMKE
Active
Individual
MS. SUSAN E HEIMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT, CLT
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
17-01011
KS
225XH1200X
Hand Occupational Therapist
2005035147
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-01011
KANSAS STATE BOARD OF HEALING ARTS
KS
Enumeration date
04/29/2010
Last updated
04/29/2010
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