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Individual

MS. SUSAN E HEIMKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L, CHT, CLT

Contact information

Practice address
6405 METCALF AVENUE, SUITE 220, OVERLAND PARK, KS 66202
(913) 831-2721
(913) 384-0127
Mailing address
6405 METCALF AVENUE, SUITE 220, OVERLAND PARK, KS 66202
(913) 831-2721
(913) 384-0127

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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