Individual
DANIEL HEESTAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17441 N 46TH PL, PHOENIX, AZ 85032-2385
(480) 528-8491
Mailing address
17441 N 46TH PL, PHOENIX, AZ 85032-2385
(480) 528-8491
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-007724
AZ
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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