Individual
EMMALEE D'ANN HEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, ATC, LAT
Contact information
Practice address
6729 NW 39TH EXPY, BETHANY, OK 73008-2605
(405) 717-6326
(405) 717-6326
Mailing address
9777 N COUNCIL RD APT 4019, OKLAHOMA CITY, OK 73162-5607
(580) 704-7073
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
882
OK
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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