Individual
HEATHER PIETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-0888
Mailing address
282 MEADOWVIEW DR, EL CAMPO, TX 77437-6300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41052
LICENSE#
TX
Enumeration date
08/17/2007
Last updated
08/17/2007
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