Individual
HEIDI L NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
17 2ND ST, BANGOR, ME 04401-6133
(207) 907-0744
Mailing address
PO BOX 19, HOLDEN, ME 04429-0019
(207) 907-0744
(207) 800-4960
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13837
NC
225100000X
Physical Therapist
PT28040
FL
225100000X
Physical Therapist
Primary
PT3963
ME
Other
Enumeration date
01/11/2013
Last updated
04/07/2021
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