Individual
KATHERINE HEFNER
Active
Individual
KATHERINE HEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305212310
VA
225100000X
Physical Therapist
9127
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305212310
VIRGINIA STATE BOARD OF PHYSICAL THERAPY
VA
01
—
9127
SOUTH CAROLINA STATE BOARD OF PHYSICAL THERAPY
SC
Enumeration date
01/14/2020
Last updated
01/14/2020
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