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Individual

HEIDI LEIGH PANOS

Active
Find providers by NPI
Individual

HEIDI LEIGH PANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1338
ND
225100000X
Physical Therapist
2281
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000242578
HMSA 65C/C
HI
05
53799601
HI
Enumeration date
06/10/2006
Last updated
07/21/2022
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