Individual
MRS. MARY BERAN HEUCHERT
Active
Individual
MRS. MARY BERAN HEUCHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
01411
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01411
PART C
—
Enumeration date
04/02/2019
Last updated
04/02/2019
Update your record
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