| NPI | 1144209347 |
|---|---|
| Former Name | HEIDI BEASLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-002419) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 2419) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2022-05-23 |