NPI | 1942529839 |
---|---|
Former Name | HEIDI MARIE KESSLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: WA 60132815) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 60132815) |
Enumeration Date | 2010-05-18 |
Last Update Date | 2011-08-24 |