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NPI Code Detail

MEDICARE: HEATHER OHLRICH RDLD

MEDICARE: HEATHER OHLRICH RDLD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133VN1005XRenal Nutrition Registered Dietitian4872OH

General Provider Information

NPI Number : 1841585601
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER OHLRICH RDLD
Provider Business Mailing Address
First Line : 391 MULBERRY LN
Second Line :
City : AVON LAKE
State : OH
Zip : 44012-2187
Country : US
Telephone Number : 440-909-5349
Fax Number :
Provider Business Practice Location Address
First Line : 9050 N CHURCH DR
Second Line :
City : PARMA HEIGHTS
State : OH
Zip : 44130-4701
Country : US
Telephone Number : 440-292-0226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2011
Last Update Date : 06/09/2011

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Directions to “ HEATHER OHLRICH RDLD” Practice Location

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