Individual
MR. MICHAEL LOUIS HEITZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
30821 SAINT VINCENT CT, WESLEY CHAPEL, FL 33543-7857
(813) 404-3676
Mailing address
30821 SAINT VINCENT CT, WESLEY CHAPEL, FL 33543-7857
(813) 404-3676
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19593
FL
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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