Individual
JOHN HEINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3656 MALL DR, EAU CLAIRE, WI 54701-7634
(715) 552-1035
Mailing address
755 VAN ES PKWY APT 5, EAU CLAIRE, WI 54703-6244
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3125-19
WI
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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