MEDICARE: AURORA INDEPENDENCE

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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1356950273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURORA INDEPENDENCE

Provider Business Mailing Address
First Line	:	7421 KEIFFER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-1415
Country	:	US
Telephone Number	:	610-416-3628
Fax Number	:

Provider Business Practice Location Address
First Line	:	7421 KEIFFER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-1415
Country	:	US
Telephone Number	:	610-416-3628
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	DAWN HEIDERSCHEIDT
Credential	:
Telephone Number	:	267-495-4153

Provider Enumeration Date	:	07/27/2020
Last Update Date	:	01/06/2026

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Directions to “AURORA INDEPENDENCE ” Practice Location

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