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Individual

HEATHER MARIA BIGWOOD-CHAMPION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
704 S ASH ST, HILLSBORO, KS 67063-1506
(620) 947-2272
(620) 947-1465
Mailing address
811 E D ST, APT A, HILLSBORO, KS 67063-1844
(701) 520-4596

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00761
KS

Other

Enumeration date
11/30/2011
Last updated
11/30/2011
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