Individual provider · NPI-1
Alyssa Kaitlyn Heiman, DPT
Physical Medicine & Rehabilitation · Rockwall, TX
NPI number1073141107
StatusActive
Last updated in NPPESMar 23, 2022
Details
- NPI
- 1073141107
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Kaitlyn Heiman
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2020
- Certification date
- Mar 23, 2022
- Last updated
- Mar 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 1327982 | TX | Yes |
Practice location
2127 Lacebark LnRockwall, TX 75087
Phone 972-697-8178
Mailing address
2127 Lacebark LnRockwall, TX 75087
Phone 972-697-8178
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