| NPI | 1215140231 |
|---|---|
| Former Name | HEIDI E TREISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 5374) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: OR 5374) |
| 225100000X Physical Therapist (Licence: CA 25571) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2022-10-26 |