Individual
OLIVIA DIANE HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 W ELLIOT RD STE 109, TEMPE, AZ 85284-1310
(480) 473-4341
Mailing address
451 S HAWES RD UNIT 43, MESA, AZ 85208-1544
(309) 219-4536
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-013993
AZ
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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