| NPI | 1518195361 |
|---|---|
| Former Name | JULIE MARIE HEITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2011020652) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-04978) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2017-02-27 |