Individual
MS. HEATHER PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1515 2ND AVE W, WILLISTON, ND 58801-4108
(701) 572-6766
Mailing address
3202 17TH AVE W #506, WILLISTON, ND 58801
(402) 304-5376
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1067
ND
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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