Individual
HEIDI A UDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MAPLEWOOD DR, BRIDGEPORT, WV 26330-9115
(304) 808-0200
Mailing address
1126 WORTHINGTON DR, BRIDGEPORT, WV 26330-1284
(304) 612-4063
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
997
WV
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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