MEDICARE: MARGARET HEISS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	L1894662	MI

General Provider Information

NPI Number	:	1104108646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET HEISS

Provider Business Mailing Address
First Line	:	151 CLAIR HILL DR
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-2109
Country	:	US
Telephone Number	:	248-608-4290
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 CLAIR HILL DR
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-2109
Country	:	US
Telephone Number	:	248-608-4290
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2011
Last Update Date	:	09/11/2011

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Directions to “ MARGARET HEISS ” Practice Location

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