Individual
HEIDI LYNN BOWERS-DUTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
101 HODENCAMP RD, STE 100, THOUSAND OAKS, CA 91360-5831
(805) 495-0516
Mailing address
101 HODENCAMP RD, STE 100, THOUSAND OAKS, CA 91360-5831
(805) 495-0516
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT4984
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4484430001
DMERC
CA
Enumeration date
06/15/2005
Last updated
12/13/2007
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