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1063979755
HEIDI LIEN
GRASS VALLEY, CA
NPI
1063979755
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Former Name
HEIDI TEACHOUT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT19295)
Enumeration Date
2019-02-28
Last Update Date
2024-01-30
Business Address
HEIDI LIEN PT
14154 LA BARR PINES DR
GRASS VALLEY, CA 95949-6317
Phone number: 530-306-5511
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Mailing Address
HEIDI LIEN PT
14154 LA BARR PINES DR
GRASS VALLEY, CA 95949-6317
Phone number: 530-306-5511
Copy
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