Provider Demographics
NPI:1710327465
Name:MARY, HEIDI M (OTR)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:M
Last Name:MARY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7171 S LANGDALE CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-2193
Mailing Address - Country:US
Mailing Address - Phone:720-296-0635
Mailing Address - Fax:
Practice Address - Street 1:7171 S LANGDALE CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-2193
Practice Address - Country:US
Practice Address - Phone:720-296-0635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2017-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics