Individual
MRS. FAITH FERGUSON HEIDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
7047 OLD MADISON PIKE NW, SUITE 305, HUNTSVILLE, AL 35806-4500
(256) 355-3495
Mailing address
4310 RUBY POINTE DR SE, DECATUR, AL 35603-5203
(256) 355-3495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2304
AL
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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