| NPI | 1972884948 |
|---|---|
| Former Name | HEIDI MICHELLE KEEFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL 6953) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH6953) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2023-11-09 |