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Individual

HEATHER MAE HERMANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2332 LIBERTY DR, CORALVILLE, IA 52241-2771
(319) 545-7390
Mailing address
2006 BUCKINGHAM DR NW APT 6, CEDAR RAPIDS, IA 52405-1138
(319) 269-0634

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000864
IA

Other

Enumeration date
12/09/2024
Last updated
12/09/2024
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