Individual
HEIDI TYMKEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5813 BIRCHMONT PLACE DR, SAINT LOUIS, MO 63129-2990
(314) 494-5936
Mailing address
5813 BIRCHMONT PLACE DR, SAINT LOUIS, MO 63129-2990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
104370
MO
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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