Individual
MRS. HEIDI ANN DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2448 S 102ND ST STE 340, MILWAUKEE, WI 53227-2147
(800) 877-7018
Mailing address
507 S 9TH ST, LA CRESCENT, MN 55947-1505
(608) 406-0462
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
365-19
WI
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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