| NPI | 1639530702 |
|---|---|
| Former Name | HEATHER CHRISTINE FARISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-012927) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1271261) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2020-03-25 |