Individual
MRS. HEIDI E HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1 WELLNESS BLVD, SUITE 204, IRMO, SC 29063
(803) 749-0808
(803) 749-0308
Mailing address
1 WELLNESS BLVD, SUITE 204, IRMO, SC 29063
(803) 749-0808
(803) 749-0308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501011935
MI
225200000X
Physical Therapy Assistant
Primary
6844
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00235541
RAILROAD MEDICARE
MI
Enumeration date
08/14/2006
Last updated
06/07/2018
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