Individual
HEIDI HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
402 W 1ST ST, ADRIAN, MO 64720-9277
(660) 464-2989
Mailing address
402 W 1ST ST, ADRIAN, MO 64720-9277
(660) 464-2989
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012028063
MO
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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