Individual
MRS. CATHY CAROL HEAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
442 REVERE DR, CRYSTAL LAKE, IL 60012-3508
(815) 236-7401
Mailing address
442 REVERE DR, CRYSTAL LAKE, IL 60012-3508
(815) 236-7401
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003967
IL
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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