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Individual

MRS. HEIDI RACHELLE RAMSDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11155-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1B411CE
BCBS
MN
05
40192300
WI
01
64-23290
MEDICA
MN
Enumeration date
01/21/2009
Last updated
06/04/2009
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