Individual
HEIDI PARDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3191 NOBLE CT, BOULDER, CO 80301-6209
(410) 746-0673
Mailing address
3191 NOBLE CT, BOULDER, CO 80301-6209
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0012471
CO
310400000X
Assisted Living Facility
0012471
CO
313M00000X
Nursing Facility/Intermediate Care Facility
0012471
CO
314000000X
Skilled Nursing Facility
0012471
CO
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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