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 | 225100000X Physical Therapist (Licence: CA 25571) |
2251P0200X Physical Therapist, Pediatrics (Licence: OR 5374) | |
Enumeration Date | 2007-05-07 |
Last Update Date | 2025-07-01 |