| NPI | 1770518961 |
|---|---|
| Former Name | HEATHER R MAGEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT018112) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006488) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-04-02 |