| NPI | 1376994178 |
|---|---|
| Other Name | HEIDI IM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305210306) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872146) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2023-12-13 |