Individual
MRS. HEIDI HANSEN BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10199 SAMSON WOODS DR, BUCKLEY, MI 49620-9592
(231) 269-4359
Mailing address
10199 SAMSON WOODS DR, BUCKLEY, MI 49620-9592
(231) 269-4359
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002960
MI
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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