Individual
MRS. HEATHER ANN IMMEDIATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
280 E. MAIN ST., SUITE 132, NEWARK, DE 19711
(302) 709-0440
(302) 709-0443
Mailing address
280 E. MAIN ST., SUITE 132, NEWARK, DE 19711
(302) 709-0440
(302) 709-0443
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0000529
DE
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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