Individual
DANIEL MICHAEL HEITHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 CONCORD PKWY N, CONCORD, NC 28027-5923
(704) 782-0908
(704) 786-0469
Mailing address
1025 CONCORD PKWY N, CONCORD, NC 28027-5923
(704) 782-0908
(704) 786-0469
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO005479
—
225200000X
Physical Therapy Assistant
001237
IA
Other
Enumeration date
08/18/2008
Last updated
05/11/2015
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