Individual
MARTHA LOUISE HEITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 RISEN SON BLVD, COUNCIL BLUFFS, IA 51503-1911
(712) 366-9655
Mailing address
3000 RISEN SON BLVD, COUNCIL BLUFFS, IA 51503-1911
(712) 366-9655
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
473
IA
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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