Individual
CARRIE HEIMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
1 S BOULEVARD, NYACK, NY 10960-3604
(614) 783-8617
Mailing address
1 S BOULEVARD, NYACK, NY 10960-3604
(614) 783-8617
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001143-1
NY
Other
Enumeration date
12/02/2006
Last updated
07/08/2007
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