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Individual

HEIDI L ECKSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6248
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6248-24
LICENSE NUMBER
WI
Enumeration date
12/28/2009
Last updated
02/28/2012
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