Individual
MARY HEITSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 SUNSET DR, NEW SHARON, IA 50207-7750
(641) 637-2780
Mailing address
PO BOX 125, NEW SHARON, IA 50207-0125
(641) 637-2780
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001584
IA
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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