Individual
ELIZABETH HEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD,OTR/L
Contact information
Practice address
4012 PARK RD, CHARLOTTE, NC 28209-2377
(704) 332-4834
Mailing address
4012 PARK RD, CHARLOTTE, NC 28209-2377
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16488
NC
225X00000X
Occupational Therapist
Primary
OC16674
NC
225X00000X
Occupational Therapist
Primary
OC16674
PA
Other
Enumeration date
11/01/2019
Last updated
04/16/2026
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