Individual
HEIDI SUE HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1381 TIMBERLANE DR, SAINT JOSEPH, MI 49085-8705
(269) 921-2890
(269) 428-2535
Mailing address
1381 TIMBERLANE DR, SAINT JOSEPH, MI 49085-8705
(269) 921-2890
(269) 428-2535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005724
MI
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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