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Individual

RICK D HEISER

Active
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Individual

RICK D HEISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ODT, OTR/L, CHT,

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OTP-OT-LIC-7773
MT
225XH1200X
Hand Occupational Therapist
Primary
OTP-OT-LIC-7773
MT
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
10/26/2009
Last updated
09/27/2021
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