| NPI | 1124317896 |
|---|---|
| Former Name | HEATHER JO HINESLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06003752A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.004994) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |