| NPI | 1669114682 |
|---|---|
| Former Name | HEATHER BEVEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502002732) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5502002732) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2025-01-23 |