Individual
MS. HEIDI LYNN VANDERMEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. ED,, TVI
Contact information
Practice address
415 DELAND DRIVE, UTICA, NY 13502
(315) 269-7377
Mailing address
415 DELAND DR, UTICA, NY 13502-1918
(315) 269-7377
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
1859165
NY
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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