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Individual
HEIDI WILHELM
Active
Individual
HEIDI WILHELM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0003639
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023981
—
VT
Enumeration date
06/09/2014
Last updated
01/15/2015
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