| NPI | 1538783758 |
|---|---|
| Former Name | MADISON AUGUST HEIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 300611) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305214727) |
| 225100000X Physical Therapist (Licence: MD 28630) | |
| 225100000X Physical Therapist (Licence: NY 045915) | |
| 225100000X Physical Therapist (Licence: NJ 40QA01926700) | |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2022-01-12 |