Individual
ANGELA M HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
253 W 6TH ST, MINSTER, OH 45865-1077
(419) 501-2165
(419) 501-2166
Mailing address
253 W 6TH ST, MINSTER, OH 45865-1077
(419) 501-2165
(419) 501-2166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005364
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2781431
—
OH
Enumeration date
06/20/2011
Last updated
06/20/2011
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