| NPI | 1881838167 |
|---|---|
| Former Name | MARY VERONICA HEFFRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 3068) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1149608) |
| 225X00000X Occupational Therapist (Licence: AR 2255) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |