Individual
HEIDI MARIE SCHAPER-NILSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 BROADWAY, SMITHTOWN, NY 11787-4601
(631) 724-8934
Mailing address
3 BROADWAY, SMITHTOWN, NY 11787-4601
(631) 724-8934
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001746
NY
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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