Individual
HEIDI JANSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1586 N ALANIU PL, KIHEI, HI 96753-1715
(808) 283-3215
Mailing address
1586 N ALANIU PL, KIHEI, HI 96753-1715
(808) 283-3215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1725
HI
Other
Enumeration date
10/18/2011
Last updated
09/10/2012
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