Individual
HEATHER MARIE COVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 NE 27TH ST, BEND, OR 97701-9548
(541) 382-0479
Mailing address
900 NE 27TH ST, BEND, OR 97701-9548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62975
OR
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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