| NPI | 1376576165 |
|---|---|
| Former Name | HEIDI ELISE BETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5147) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P13591) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-11-12 |