Heidi Vondebur, | |
245 N 3rd E, Mountain Home, ID 83647-2734 | |
(208) 587-8255 | |
Not Available |
Full Name | Heidi Vondebur |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 245 N 3rd E, Mountain Home, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003440603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Advanced Therapy Care Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477786358 PECOS PAC ID: 6406049469 Enrollment ID: O20101022000150 |
Mailing Address | Practice Location Address |
---|---|
Heidi Vondebur, 3715 N Centrepoint Way Unit K108, Meridian, ID 83646-4039 Ph: () - | Heidi Vondebur, 245 N 3rd E, Mountain Home, ID 83647-2734 Ph: (208) 587-8255 |
Shelby Rae Lunday, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 895 N 6th E, Mountain Home, ID 83647 Phone: 972-762-9964 | |
Wendi Rock, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255 Fax: 208-587-4475 | |
Stacey Mcfarland-smith, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 895 N 6th E, Mountain Home, ID 83647 Phone: 208-587-8401 | |
Christine Elizabeth Hobbs, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255 | |
Melanie Lewellyan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 895 N 6th E, Mountain Home, ID 83647 Phone: 208-587-8401 | |
Deborah Jackson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8255 Fax: 208-587-4475 |