Individual
MRS. ELIZABETH ANN HEISKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1071 W BLUE STARR DR, CLAREMORE, OK 74017-2868
(918) 342-3800
(918) 342-3900
Mailing address
1071 W BLUE STARR DR, CLAREMORE, OK 74017-2868
(918) 342-3800
(918) 342-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4378
OK
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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