Individual
HEIDI LYN PENSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, AT, ATC
Contact information
Practice address
69083 PALMER DR, PAW PAW, MI 49079-9764
(269) 767-1051
Mailing address
69083 PALMER DR, PAW PAW, MI 49079-9764
(269) 767-1051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001335
MI
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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