Individual
MRS. TAMMY LEE HEINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6836 HOLLISTON CIR, FAYETTEVILLE, NY 13066-1700
(315) 299-6337
Mailing address
6836 HOLLISTON CIR, FAYETTEVILLE, NY 13066-1700
(315) 299-6337
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
014559-1
NY
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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