Individual
HEIDI KOHAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, NCS, ATP
Contact information
Practice address
1717 6TH AVE S, BIRMINGHAM, AL 35233-1801
(205) 934-4131
Mailing address
1717 6TH AVE S, BIRMINGHAM, AL 35233-1801
(205) 934-4131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT11074
OH
225100000X
Physical Therapist
Primary
PTH7985
AL
Other
Enumeration date
08/03/2016
Last updated
01/25/2017
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