Individual
HEATHER M. BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
625 E SAINT PAUL AVE, MILWAUKEE, WI 53202-5907
(414) 223-2727
(414) 223-2724
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5801024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36146600
—
WI
Enumeration date
08/23/2005
Last updated
08/12/2014
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