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Individual

MRS. SHARON LYNN HEITZ

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
4050 RESERVE PT, COLORADO SPRINGS, CO 80904-1043
(719) 337-7722
(719) 685-5182
Mailing address
4050 RESERVE PT, COLORADO SPRINGS, CO 80904-1043
(719) 337-7722
(719) 685-5182

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5945
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89932722
CO
Enumeration date
04/13/2006
Last updated
07/09/2007
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