Individual
DR. HEIDI JO YOUNG HETLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, MS, PCS
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5172
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89776
BCBS OF NC
NC
Enumeration date
03/12/2007
Last updated
11/30/2011
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