| NPI | 1285187500 |
|---|---|
| Former Name | HEIDI GOETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH7985) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT11074) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2017-01-25 |