Individual
MS. HEATHER J KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3371 NEW SOUTH PROVINCE BLVD APT 4, FORT MYERS, FL 33907-5316
(239) 357-7536
Mailing address
3371-4 NEW SOUTH PROVINCE BLVD., FT. MYERS, FL 33907
(239) 357-7536
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
16449
FL
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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