Sossoman, Heather Wiles

Sossoman, Heather Wiles is an sole proprietor health care provider with primary practice located at 3240 Maple Ln , Davie FL 33328-6713. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Sossoman, Heather Wiles can be contacted via phone (954) 683-0611.

Contact Information

Primary practice address
3240 Maple Ln Davie FL 33328-6713
Phone: (954) 683-0611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT26798 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT26798 Florida

Profile Details

NPI number 1548248693
LBN Legal business name Sossoman, Heather Wiles
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2006
Last updated Oct 19th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548248693 NPPES
Florida MEDICAID 004154700
Florida MEDICAID 7211644
Florida Other 079KV

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