Individual
ELIZABETH EMMA HEINTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1279 W. FRONTAGE ROAD UNIT H, RIO RICO, AZ 85648-8029
(520) 375-2127
(520) 375-2127
Mailing address
938 76TH AVENUE SOUTH, FARGO, ND 58104
(701) 799-6335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2283
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP008810T
AZ PT COMPACT PRIVILEGE
AZ
Enumeration date
11/03/2020
Last updated
06/26/2023
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