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Individual

MRS. RACHEL JO HEIDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
851 NW 45TH ST, SUITE 304, KANSAS CITY, MO 64116-4628
(816) 452-1633
(816) 452-1635
Mailing address
14432 W 139TH TER, OLATHE, KS 66062-8422
(913) 449-7163

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-01075
KS

Other

Enumeration date
10/19/2009
Last updated
10/19/2009
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