| NPI | 1144083080 |
|---|---|
| Former Name | TILLIE HEIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AR 5430) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 5430) |
| 2251S0007X Physical Therapist, Sports (Licence: AR 5430) | |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2025-09-16 |