Individual
JOAN HEERINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
130 W 56TH ST, NEW YORK, NY 10019-3962
(212) 247-8436
Mailing address
205 PINEHURST AVE APT 2G, NEW YORK, NY 10033-1834
(952) 594-2450
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
050768
NY
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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