| NPI | 1407718299 |
|---|---|
| Former Name | HEIDI ELIZABETH PRADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 03333) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT006795) |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2025-12-08 |