NPI | 1578504387 |
---|---|
Former Name | HEIDI LEIGH SITES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1338) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 2281) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2022-07-21 |