Individual
HEATHER MARIE KIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
601 SUTTON RD S, FORT MILL, SC 29715-8439
(803) 909-6447
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
(803) 909-6447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8755
SC
Other
Enumeration date
08/05/2010
Last updated
01/15/2025
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