Individual
MS. HEIDI SHIRENE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 MAIN ST, SUITE A1, MT VERNON, WA 98273-2314
(360) 336-3432
(360) 336-3492
Mailing address
14971 WILBUR RD, LA CONNER, WA 98257
(360) 466-0270
(360) 466-0270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0229998
WA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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