NPI | 1144750100 |
---|---|
Other Name | MAGGIE HEERDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4420) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 0130264) |
Enumeration Date | 2017-06-13 |
Last Update Date | 2021-05-12 |