BRIAN T HEATON

MIDDLETON, ID
NPI1285782409
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  3890)
Enumeration Date2007-01-05
Last Update Date2007-07-08
Business Address
-- BRIAN T HEATON PT
23108 LANSING LN
MIDDLETON, ID 83644-5630
Phone number: 208-484-0096
Mailing Address
-- BRIAN T HEATON PT
23108 LANSING LN
MIDDLETON, ID 83644-5630
Phone number: 208-484-0096
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