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Individual
JENNIFER C HEISEY
Active
Individual
JENNIFER C HEISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
070019764
IL
225100000X
Physical Therapist
Primary
1242810
TX
Other
Enumeration date
03/27/2013
Last updated
10/21/2018
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