Individual
MRS. HEATHER NICOLE WHITBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2495
(313) 745-1055
Mailing address
41426 SINGH DR, CANTON, MI 48188-2645
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015486
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5501015486
—
MI
Enumeration date
06/11/2018
Last updated
06/11/2018
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