# TERESA HEITZMANN, MSPT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780962407
- **Authorized official:** MRS. TERESA MARY HEITZMANN MSPT (OWNER)
- **Authorized official phone:** (443) 799-3174

## Contact information

- **Practice address:** 6036 ASCENDING MOON PATH, CLARKSVILLE, MD 21029-2900
- **Practice address phone:** (443) 799-3119
- **Practice address fax:** (443) 545-7825
- **Mailing address:** 6036 ASCENDING MOON PATH, CLARKSVILLE, MD 21029-2900
- **Mailing address phone:** (443) 799-3119
- **Mailing address fax:** (443) 545-7825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 19228 | MD | Yes |

## Other

- **Enumeration date:** 07/29/2011
- **Last updated:** 01/27/2025