| NPI | 1346382306 |
|---|---|
| Former Name | HEATHER LEE MACDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 15207) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI 02286) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-04-22 |