Individual
KEITH HEISCHOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4533 BRAMBLETON AVE, ROANOKE, VA 24018-3436
(540) 772-8022
(540) 527-0057
Mailing address
4533 BRAMBLETON AVE, ROANOKE, VA 24018-3436
(540) 772-8022
(540) 527-0057
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305206289
VA
Other
Enumeration date
12/22/2009
Last updated
09/06/2013
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