Individual
GERALYN M HEITKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2301 25TH ST S, SUITE B, FARGO, ND 58103-6104
(701) 280-2212
(701) 271-1023
Mailing address
5635 COUNTY ROAD 3, KINDRED, ND 58051-9523
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
101537
MN
225X00000X
Occupational Therapist
Primary
465
ND
Other
Enumeration date
06/04/2006
Last updated
10/01/2007
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