| NPI | 1437229242 |
|---|---|
| Former Name | HEIDI J. VANENGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT603114245) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT1626) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2014-07-30 |