| NPI | 1215242581 |
|---|---|
| Former Name | HEATHER HODGKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3778) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY PT1337) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2013-05-10 |