Individual
HEIDI STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
100 NE RANDOLPH AVE, PEORIA, IL 61606-1919
(309) 624-8575
(309) 624-8591
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
(309) 655-7869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-016593
IL
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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