Individual
DEBRA JEAN HEISERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 POWELL DR, DUNDEE, MI 48131-8644
(734) 915-7766
Mailing address
4182 BLOHM RD, MONROE, MI 48161-9101
(734) 625-4631
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006712
MI
Other
Enumeration date
03/24/2018
Last updated
03/24/2018
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