Individual
HEATHER WATERBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7324 NIAGARA LN N, MAPLE GROVE, MN 55311-2655
(763) 257-2920
Mailing address
7324 NIAGARA LN N, MAPLE GROVE, MN 55311-2655
(763) 257-2920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11795
MN
225100000X
Physical Therapist
61897
OR
Other
Enumeration date
08/09/2016
Last updated
05/17/2020
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