Individual
DEMIAS HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 E. SOUTH WAY BLVD, KOKOMO, IN 46902
(765) 626-0299
(765) 864-2070
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015096A
IN
Other
Enumeration date
07/27/2023
Last updated
10/15/2024
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