Individual
HEIDI LYNN BAWEJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
945 E SHERMAN BLVD, NORTON SHORES, MI 49444-1805
(231) 737-4374
Mailing address
945 E SHERMAN BLVD, NORTON SHORES, MI 49444-1805
(231) 737-4374
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007092
MI
225XP0200X
Pediatric Occupational Therapist
5201007092
MI
Other
Enumeration date
01/16/2010
Last updated
11/13/2014
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