Individual
HEATHER HEIDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
17099 COUNTY SEAT HWY, GEORGETOWN, DE 19947-4865
(302) 856-0961
(302) 856-7882
Mailing address
17099 COUNTY SEAT HWY, GEORGETOWN, DE 19947-4865
(302) 856-0961
(302) 856-7882
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000357
DE
Other
Enumeration date
12/04/2016
Last updated
12/04/2016
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