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Individual

HEIDI DEMARS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1303 E CENTRAL AVE, BISMARCK, ND 58501-2066
(701) 222-3175
Mailing address
2110 N 3RD ST, BISMARCK, ND 58501-1744
(701) 595-1263

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1191
ND

Other

Enumeration date
12/12/2012
Last updated
12/12/2012
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