Individual
SARAH HEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
203 4TH ST NW, BAGLEY, MN 56621-8305
(612) 206-4015
Mailing address
748 FOX RD, LINO LAKES, MN 55014-5468
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12660
MN
Other
Enumeration date
06/09/2022
Last updated
06/30/2022
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