Individual
DIANE KAY HEIDEGGER
Active
Individual
DIANE KAY HEIDEGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1075919
TX
225100000X
Physical Therapist
Primary
CP018927T
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP018927T
PHYSICAL THERAPY LICENSE
NC
Enumeration date
04/10/2007
Last updated
12/04/2024
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