Individual
HEATHER KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RVS, CCC
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/13/2021
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