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Individual

MRS. KATHLEEN ANDREA BREHM-HEITMAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1402 SPRUCE DR, GRAND FORKS AFB, ND 58204-1462
(701) 747-5555
Mailing address
1402 SPRUCE DR, GRAND FORKS AFB, ND 58204-1462
(701) 747-5555

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007056L
PA

Other

Enumeration date
10/17/2005
Last updated
07/08/2007
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