Individual
MRS. HEIDI DAWN HOSKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR
Contact information
Practice address
4700 MEMORIAL DRIVE, MOC 3, SUITE 150, BELLEVILLE, IL 62226
(618) 257-5758
(618) 257-5298
Mailing address
4700 MEMORIAL DRIVE, MOC 3, SUITE 150, BELLEVILLE, IL 62226
(618) 257-5758
(618) 257-5298
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
056.004829
IL
225XP0200X
Pediatric Occupational Therapist
056.004829
IL
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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