Individual
HEIDI GOWDEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
851 COMMERCE BLVD, SUITE 107, DICKSON CITY, PA 18519-1677
(570) 489-5561
(570) 489-5563
Mailing address
851 COMMERCE BLVD, SUITE 107, DICKSON CITY, PA 18519-1677
(570) 489-5561
(570) 489-5563
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
OC006456 L
PA
225X00000X
Occupational Therapist
OC006456 L
PA
225XE1200X
Ergonomics Occupational Therapist
OC006456 L
PA
225XH1200X
Hand Occupational Therapist
OC006456 L
PA
225XP0200X
Pediatric Occupational Therapist
OC006456 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018635910003
—
PA
01
—
1563663
HIGHMARK
PA
01
—
163621
MEDPLUS
PA
01
—
2637127
AETNA HMO
PA
01
—
7722289
AETNA PPO
PA
01
—
819207
FIRST PRIORITY/BC/BS
PA
01
—
9358705
PHCS
PA
Enumeration date
12/01/2005
Last updated
09/11/2025
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