| NPI | 1073130670 |
|---|---|
| Former Name | HEIDI KATHRYN BOHRER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15011-24) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 15011-24) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-01-10 |