Individual
HEIDI LYNN CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
32021 WALTHAM DR, BEVERLY HILLS, MI 48025-3929
(586) 484-9132
Mailing address
32021 WALTHAM DR, BEVERLY HILLS, MI 48025-3929
(586) 484-9132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006512
MI
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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