| NPI | 1457710170 |
|---|---|
| Former Name | HEATHER DORGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501010546) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT28710) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2018-05-01 |