Most Relevant Information
Provider Data
| NPI Number: | 1003440603 |
| Provider Name: | HEIDI VONDEBUR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/24/2020 |
| Last Updated: | 02/24/2020 |
Provider Practice Location
245 N 3RD E
MOUNTAIN HOME
ID
836472734
Practice Location Phone/Fax
| Phone: | 2085878255 |
| Fax: |
Provider Mailing Location
3715 N CENTREPOINT WAY UNIT K108
MERIDIAN
ID
836464039
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |