Individual ProviderHeather LundeenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address806 N Washington St, Bismarck, ND 58501-3623(701) 355-3028PECOS EnrollmentBased on the most recent information from CMS, provider Heather Lundeen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1154525541Provider TypeIndividualFull NameLundeen, HeatherGenderFemaleSole ProprietorNoEnumeration Date6/12/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address806 N Washington St, Bismarck, ND 58501-3623Phone(701) 355-3028FaxUnlisted FaxMailing LocationMailing Address806 N Washington St, Bismarck, ND 58501-3623PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID52818DescriptionMedicaidIssuerUnlistedNorth Dakota