Doctor Name: | MRS. HEATHER R WEDGWORTH |
NPI Number: | 1518164607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPIST |
License Number: | 11072 |
Business Practice Address: | 110 S Us Hwy 64/264 Manteo, NC - 27954 |
Business Phone Number: | 2522611556 |
Business Fax Number: | 2522616161 |
Mailing Address: | 101 Medical Dr, ELIZABETH CITY |
State: | NC |
Postal Code: | 279093361 |
Phone Number: | 2523382114 |
Fax Number: | 2523382115 |
NPI Enumeration Date: | 07/02/2007 |
NPI Last Update Date: | 06/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |