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Individual

MRS. HEATHER RENEE PILCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA, MSE, ATC, LAT

Contact information

Practice address
308 SE 9TH ST., PELLA, IA 50219
(641) 621-0230
Mailing address
308 SE 9TH ST., PELLA, IA 50219
(641) 621-0230

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001454
IA
2255A2300X
Athletic Trainer
00581
IA

Other

Enumeration date
02/09/2007
Last updated
07/09/2010
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