Diane Barry Heidorn in Waco - Recreation Therapist
Diane Barry Heidorn - NPI 1124140546
Diane Barry Heidorn is a Recreation Therapist in Waco, Texas. Diane Barry Heidorn practices all healthcare services and medical treatments related to Recreation Therapist. The NPI Number for Diane Barry Heidorn is 1124140546. The last update date is 2007-07-08.
Diane Barry Heidorn's current location address is 1607 Breezy Dr, Waco, Texas. You can contact this provider via phone number 2544200149. The mailing address for Diane Barry Heidorn is 1607 Breezy Dr, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Barry Heidorn |
|---|---|
| Address | 1607 Breezy Dr, Waco, Texas |
| Phone Number | 2544200149 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CTRS |
NPI Number Detail
| NPI Number | 1124140546 |
|---|---|
| Provider Enumeration Date | 2007-04-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1607 Breezy Dr |
|---|---|
| City | Waco |
| State | Texas (TX) |
| Post Code | 767128218 |
| Phone Number | 2544200149 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Recreation Therapist |
|---|---|
| Taxonomy | 225800000X |
|
Definition: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
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What is the unique 10-digit identifier code issued to Diane Barry Heidorn by the Centers for Medicare & Medicaid Services?
The Diane Barry Heidorn has been assigned the NPI (National Provider Identifier) 1124140546 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Diane Barry Heidorn?
The Diane Barry Heidorn is situated at 1607 Breezy Dr, in the city of Waco, state of TX, with the zip code 767128218.
What is the Diane Barry Heidorn's area of specialization and corresponding taxonomy classification?
The Diane Barry Heidorn's specialty field is Recreation Therapist, and it falls under the taxonomy code 225800000X, which categorizes healthcare providers based on their specialties.
On what date did the Diane Barry Heidorn receive the assignment of its 1124140546 from the Centers for Medicare & Medicaid Services?
The Diane Barry Heidorn was issued its 1124140546 by the Centers for Medicare & Medicaid Services on 2007-04-05.
When was the information related to Diane Barry Heidorn most recently updated or refreshed?
The details pertaining to the Diane Barry Heidorn, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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