KEITH HEIDBREDER

JEFFERSON CITY, MO
NPI1861605644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  115832)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
-- KEITH HEIDBREDER PTA
1030 EDMONDS ST
JEFFERSON CITY, MO 65109
Phone number: 573-761-6700
Mailing Address
-- KEITH HEIDBREDER PTA
4217 ST. MICHAEL'S ROAD
LOHMAN, MO 65057
Phone number: 573-782-7452
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