# DR. STEPHANIE MARIE HEINHOLD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760629836
- **Gender:** F
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | 6145389-2401 | UT | Yes |

## Other

- **Enumeration date:** 01/12/2009
- **Last updated:** 01/23/2009