Individual
RACHAEL HERITAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3526 LONGMIRE DR STE 102, COLLEGE STATION, TX 77845-6473
(979) 485-2956
Mailing address
3749 ESSEN LOOP, COLLEGE STATION, TX 77845-5985
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2140125
TX
Other
Enumeration date
09/23/2018
Last updated
03/30/2023
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