Individual
HEATHER DENSMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
136 FAIRVIEW RD, SUITE 110, MOORESVILLE, NC 28117-9517
(704) 799-4611
Mailing address
PO BOX 4570, DAVIDSON, NC 28036-4570
(704) 819-6910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8070
NC
Other
Enumeration date
09/24/2009
Last updated
07/20/2015
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