Individual
MRS. HEIDI HELENE COZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
404 NE PENN AVE, BEND, OR 97701-4264
(541) 318-7041
Mailing address
19716 DARTMOUTH AVE, BEND, OR 97702-3007
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2468
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02468
OR LICENSE
OR
05
—
500726778
—
OR
Enumeration date
03/09/2011
Last updated
07/14/2017
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