| NPI | 1841403250 |
|---|---|
| Former Name | HEATHER MICHELE GORMLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 13675) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 004633) |
| 225100000X Physical Therapist (Licence: OH 9211) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-05 |