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1366984965
CHAD HEIDEMAN
LITTLETON, CO
NPI
1366984965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO 0013905)
Enumeration Date
2016-11-14
Last Update Date
2016-11-14
Business Address
CHAD HEIDEMAN
145 PEGASUS DR
LITTLETON, CO 80124-2823
Phone number: 303-435-6988
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Mailing Address
CHAD HEIDEMAN
145 PEGASUS DR
LITTLETON, CO 80124-2823
Phone number: 303-435-6988
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