Walter Ernest Vanheiningen III, PTA
Physical Therapy Assistant in Thomasville, GA. Individual provider (NPI-1).
NPI number1982169298
StatusActive
Last updated in NPPESJan 31, 2019
Details
- NPI
- 1982169298
- Entity type
- Individual (NPI-1)
- Name
- Mr. Walter Ernest Vanheiningen III
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2019
- Last updated
- Jan 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA004191 | GA | Yes |
Practice location
511 Gordon AveThomasville, GA 31792-6645
Phone 229-228-9019
Mailing address
511 Gordon AveThomasville, GA 31792-6645
Phone 229-228-9019
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All 15 Physical Therapy Assistant providers in Thomasville · All 1,162 providers in Thomasville
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