Individual
HEIDI MARIE CUMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1200 E COLLEGE AVE APT 220, NORMAL, IL 61761-3171
(773) 284-9888
Mailing address
PO BOX 37, WORTH, IL 60482-0037
(309) 838-9667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.023612
IL
Other
Enumeration date
07/12/2018
Last updated
10/23/2023
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