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NPI Code Detail

MEDICARE: HEIDI EDGAR MOT, OTR/L

MEDICARE:   HEIDI  EDGAR  MOT, OTR/L
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 TherapistU1-0012476DE
2225X00000XOccupational TherapistOT006498GA
3225X00000XOccupational Therapist134193KY

Other Identifiers

General Provider Information

NPI Number : 1588846000
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI EDGAR MOT, OTR/L
Provider Business Mailing Address
First Line : 630 CHURCHMANS RD STE 100A
Second Line :
City : NEWARK
State : DE
Zip : 19702-1943
Country : US
Telephone Number : 302-544-5055
Fax Number :
Provider Business Practice Location Address
First Line : 630 CHURCHMANS RD STE 100A
Second Line :
City : NEWARK
State : DE
Zip : 19702-1943
Country : US
Telephone Number : 302-544-5055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2007
Last Update Date : 04/15/2026

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Directions to “ HEIDI EDGAR MOT, OTR/L” Practice Location

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