| NPI | 1124285952 |
|---|---|
| Former Name | HEATHER ELIZABETH HITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: ID PTA-2144) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MT 2050) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2010-06-02 |