Bristow, Heidi Leticia

Bristow, Heidi Leticia is an individual health care provider with primary practice located at 3200 Northline Ave Ste 160 , Greensboro NC 27408-7613. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bristow, Heidi Leticia can be contacted via phone (336) 545-5000.

Contact Information

Primary practice address
3200 Northline Ave Ste 160 Greensboro NC 27408-7613
Phone: (336) 545-5000
Fax: (336) 545-5020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 8430 North Carolina

Profile Details

NPI number 1215471792
LBN Legal business name Bristow, Heidi Leticia
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2016
Last updated Jan 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215471792 NPPES
North Carolina Other 8430 OT LICENSE

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