Doctor Name: | MRS. HEIDI MARIE EPPERSON |
NPI Number: | 1003856725 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | PT 1615 |
Business Practice Address: | 500 Tiger Blvd. Bentonville, AR - 72712 |
Business Phone Number: | 4792545065 |
Business Fax Number: | 4792711123 |
Mailing Address: | 612 Chateau Dr., ROGERS |
State: | AR |
Postal Code: | 727583936 |
Phone Number: | 4796218180 |
Fax Number: | 4796218506 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 11/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT 1615 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |