Individual
MRS. KIMBERLY SUE HERITIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1583 E COTTAGE GROVE RD, LINWOOD, MI 48634-9404
(989) 737-3602
Mailing address
1583 E COTTAGE GROVE RD, LINWOOD, MI 48634-9404
(989) 737-3602
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001112
MI
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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