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NPI Code Detail

MEDICARE: HEIDI A UDE

MEDICARE: HEIDI A UDE
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
1225X00000XOccupational Therapist997WV

General Provider Information

NPI Number : 1285297572
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI A UDE
Provider Business Mailing Address
First Line : 1126 WORTHINGTON DR
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-1284
Country : US
Telephone Number : 304-612-4063
Fax Number :
Provider Business Practice Location Address
First Line : 1000 MAPLEWOOD DR
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-9115
Country : US
Telephone Number : 304-808-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2019
Last Update Date : 04/22/2019

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Directions to “ HEIDI A UDE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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