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Individual

DION KRIS HEIMINK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
6036 N 19TH AVE STE 303, PHOENIX, AZ 85015-2105
(520) 822-8640
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
01/10/2018
Last updated
01/10/2018
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