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Individual

HEIDI PANTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
362 CHRISTOPHER AVE STE A, GAITHERSBURG, MD 20879-3613
(240) 410-3209
Mailing address
7802 MARKER RD, MIDDLETOWN, MD 21769-8229
(240) 626-3577

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
026346
NY
225X00000X
Occupational Therapist
Primary
10390
MD

Other

Enumeration date
02/14/2022
Last updated
11/17/2024
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