Individual
MS. SONIA L HEIDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10790 W OVERLAND RD, BOISE, ID 83709-1329
(208) 322-8709
(208) 322-8710
Mailing address
10790 W OVERLAND RD, BOISE, ID 83709-1329
(208) 322-8709
(208) 322-8710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT-1140
ID
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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