Individual
MRS. HEATHER JEAN BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
312 N ALMA SCHOOL RD, #14, CHANDLER, AZ 85224-4354
(480) 820-6366
Mailing address
700 W MACAW DR, CHANDLER, AZ 85286-7618
(480) 963-6710
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4509
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12454375
CAQH
AZ
05
—
500531
—
AZ
Enumeration date
02/19/2010
Last updated
05/18/2014
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