Individual
LAUREN HEIBERTSHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4121 KING RD, SYLVANIA, OH 43560-4438
(419) 517-8202
Mailing address
4121 KING RD, SYLVANIA, OH 43560-4438
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015390
OH
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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