Individual
HEIDI LYNN BERTONCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8745 JAMES A REED RD, RAYTOWN, MO 64138-4414
(816) 761-1022
Mailing address
5922 HEMLOCK ST, MERRIAM, KS 66202-2920
(913) 262-7232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003579
MO
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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