Individual
MISS HEIDI J WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L CHT
Contact information
Practice address
724 S CENTRAL AVE STE 107, MEDFORD, OR 97501-7808
(248) 219-7053
Mailing address
1084 WASHBURN LN, MEDFORD, OR 97501-2000
(248) 219-7053
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1047614
OR
225X00000X
Occupational Therapist
OTR-697
WY
Other
Enumeration date
08/18/2016
Last updated
12/12/2019
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