Individual
MS. HEATHER MARIE SOUERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1100 S PAPER BIRCH CT, BLOOMINGTON, IN 47403-4584
(812) 606-5404
Mailing address
1100 S PAPER BIRCH CT, BLOOMINGTON, IN 47403-4584
(812) 606-5404
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
55508
IN
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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