Most Relevant Information
Provider Data
| NPI Number: | 1003268004 |
| Provider Name: | BETHANY HEIDEMANN OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 2365 |
Most Important Dates
| Enumeration Date: | 07/01/2016 |
| Last Updated: | 07/01/2016 |
Provider Practice Location
66 HAWTHORNE DR S
BEDFORD
NH
03110
Practice Location Phone/Fax
| Phone: | 6036442200 |
| Fax: |
Provider Mailing Location
57 ASHMERE DR
MANCHESTER
NH
031095948
Provider Mailing Phone/Fax
| Phone: | 9787295559 |
| Fax: |