Individual
ORLANDO G HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
151 W 200 N, VERNAL, UT 84078-1907
(435) 789-3342
(435) 789-7892
Mailing address
151 W 200 N, VERNAL, UT 84078-1907
(435) 789-3342
(435) 789-7892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3614652401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621762532016
—
UT
Enumeration date
09/13/2006
Last updated
07/09/2007
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