Individual
MRS. HEIDI LENORE DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
501 N 14TH ST, PERRY, OK 73077-5021
(580) 336-6541
Mailing address
501 N 14TH ST, PERRY, OK 73077-5021
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1549
OK
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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