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Individual
HEIDI C. O'GRADY
Active
Individual
HEIDI C. O'GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00275
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT00275
STATE LICENSE
RI
Enumeration date
08/07/2009
Last updated
08/07/2009
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