Individual
HEATHER ANN GEDDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
658 WALSTON DR, WILMINGTON, NC 28412-2683
(252) 327-0924
Mailing address
658 WALSTON DR, WILMINGTON, NC 28412-2683
(252) 327-0924
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10323
NC
2251P0200X
Pediatric Physical Therapist
Primary
10323
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068EC
BLUE CROSS BLUE SHIELD
NC
05
—
7212195
—
NC
Enumeration date
01/23/2007
Last updated
10/09/2007
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